0001209191-17-010012.txt : 20170213 0001209191-17-010012.hdr.sgml : 20170213 20170213163538 ACCESSION NUMBER: 0001209191-17-010012 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170213 DATE AS OF CHANGE: 20170213 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INVACARE CORP CENTRAL INDEX KEY: 0000742112 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 952680965 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE INVACARE WAY STREET 2: P O BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 BUSINESS PHONE: 4403296000 MAIL ADDRESS: STREET 1: ONE INVACARE WAY STREET 2: P O BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Childers Dean J. CENTRAL INDEX KEY: 0001651701 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 17599725 MAIL ADDRESS: STREET 1: ONE INVACARE WAY CITY: ELYRIA STATE: OH ZIP: 44035 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2016-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001651701 Childers Dean J. ONE INVACARE WAY ELYRIA OH 44035 0 1 0 0 SVP & GM, North America Common Shares 45672 D Common Shares 269.585 I By Invacare Retirement Savings Plan Owned by the Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2016. /s/ Dean J. Childers, by Kristofer K. Spreen, his attorney-in-fact, pursuant to Power of Attorney, dated August 24, 2015, on file with the Commission 2017-02-13