-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, QKChJs6V1JwoQqFg+GrB/nOBAAGC+0F4Z0disiAKhhGuq7U++bQDHUJK/zyVvVbu dVNT6ijZy4f8oaYrzp8YMw== 0000950152-02-000963.txt : 20020414 0000950152-02-000963.hdr.sgml : 20020414 ACCESSION NUMBER: 0000950152-02-000963 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020212 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-35958 FILM NUMBER: 02537095 BUSINESS ADDRESS: STREET 1: ONE INVACARE WAY STREET 2: P O BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 BUSINESS PHONE: 4403296000 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: MIXON AARON MALACHI III CENTRAL INDEX KEY: 0000937770 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 899 CLEVELAND STREET STREET 2: PO BOX 4028 CITY: ELYRIA STATE: OH ZIP: 44036 BUSINESS PHONE: 2166228207 MAIL ADDRESS: STREET 1: 800 SUPERIOR AVENUE STREET 2: SUITE 1800 CITY: CLEVELAND STATE: OH ZIP: 44107 SC 13G/A 1 l92669asc13ga.txt INVACARE CORP/A. MALACHI MIXON III SC 13G/A SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 --------- SCHEDULE 13G (Rule 13d-102) INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO 13d-2(b) (Amendment No. 16)(1) INVACARE CORPORATION - -------------------------------------------------------------------------------- (Name of Issuer) COMMON SHARES - -------------------------------------------------------------------------------- (Title of Class of Securities) 461203 10 1 - -------------------------------------------------------------------------------- (CUSIP Number) December 31, 2001 - -------------------------------------------------------------------------------- (Date of Event Which Requires Filing of this Statement) - -------------------------------------------------------------------------------- Check the appropriate box to designate the rule pursuant to which this Schedule is filed: - -------------------------------------------------------------------------------- [ ] Rule 13d-1(b) [ ] Rule 13d-1(c) [X] Rule 13d-1(d) - -------- (1) The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
- ---------------------------------------- -------------------------------------- 13G CUSIP NO. 461203 10 1 PAGE 2 OF 6 PAGES - ---------------------------------------- -------------------------------------- - ---------- -------------------------------------------------------------------------------------------------------------- 1. NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) A. Malachi Mixon, III - ---------- -------------------------------------------------------------------------------------------------------------- 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] Not Applicable - ---------- -------------------------------------------------------------------------------------------------------------- 3. SEC USE ONLY - ---------- -------------------------------------------------------------------------------------------------------------- 4. CITIZENSHIP OR PLACE OF ORGANIZATION United States - ---------- -------------------------------------------------------------------------------------------------------------- NUMBER OF 5. SOLE VOTING POWER 2,144,118 SHARES ------ -------------------------------------------------------------------------------------- BENEFICIALLY 6. SHARED VOTING POWER 205,537 OWNED BY ------ -------------------------------------------------------------------------------------- EACH 7. SOLE DISPOSITIVE POWER 2,144,118 REPORTING ------ -------------------------------------------------------------------------------------- PERSON WITH 8. SHARED DISPOSITIVE POWER 348,722 - --------------------------- ------ -------------------------------------------------------------------------------------- 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 2,492,840 - ---------- -------------------------------------------------------------------------------------------------------------- 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* Not Applicable - ---------- -------------------------------------------------------------------------------------------------------------- 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 [ ] 7.9% - ---------- -------------------------------------------------------------------------------------------------------------- 12. TYPE OF REPORTING PERSON* IN - ---------- --------------------------------------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT! ITEM 1(a). NAME OF ISSUER: Invacare Corporation ------------------------------------------------------------------------------------------------ ITEM 1(b). ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: One Invacare Way, Elyria, Ohio 44035 ------------------------------------------------------------------------------------------------ ITEM 2(a). NAME OF PERSON FILING: A. Malachi Mixon, III ------------------------------------------------------------------------------------------------ ITEM 2(b). ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE: One Invacare Way, Elyria, Ohio 44035 ------------------------------------------------------------------------------------------------ ITEM 2(c). CITIZENSHIP: United States ------------------------------------------------------------------------------------------------ ITEM 2(d). TITLE OF CLASS OF SECURITIES: Common Shares ------------------------------------------------------------------------------------------------ ITEM 2(e) CUSIP NUMBER: 461203 10 1 ------------------------------------------------------------------------------------------------ ITEM 3: IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A: (a) [ ] Broker or dealer registered under Section 15 of the Act, (b) [ ] Bank as defined in Section 3(a)(6) of the Act, (c) [ ] Insurance Company as defined in Section 3(a)(19) of the Act, (d) [ ] Investment Company registered under Section 8 of the Investment Company Act, (e) [ ] An investment adviser in accordance with Rule 13-d-1(b)(1))(ii)(E), (f) [ ] An employee benefit plan or endowment fund; in accordance with Rule 13d-1(b)(1)(ii)(F),
(g) [ ] A parent holding company or control person in accordance with Rule 13d-1(b)(ii)(G), (h) [ ] A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act, (i) [ ] A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act, (j) [ ] Group, in accordance with Rule 13d-1(b)(1)(ii)(J). If this statement is filed pursuant to Rule 13d-1(c), check this box. ITEM 4. OWNERSHIP. Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1. (a) Amount beneficially owned: 2,492,840(1)(2)(3)(4) ------------------------------------------------------------------------------------------------ (b) Percent of class: 7.9% ------------------------------------------------------------------------------------------------ (c) Number of shares as to which such person has: (i) Sole power to vote or to direct the vote 2,144,118 (1) ----------------------------------------------- (ii) Shared power to vote or to direct the vote 205,537 (2) --------------------------------------------- (iii) Sole power to dispose or to direct the disposition of 2,144,118 (1) ---------------------------------- (iv) Shared power to dispose or to direct the disposition of 348,722 (2) (3) -------------------------------- Instruction. For computations regarding securities which represent a right to acquire an underlying security, see Rule 13d-3(d)(1).
(1) Includes 703,912 Class B Common Shares and also includes 749,838 Common Shares issuable upon exercise of options. Each Class B Common Share is convertible at any time into one Common Share. (2) Includes (a) 18,900 Common Shares owned by Trustee for Stock Bonus Plan, (b) 159,321 Common Shares owned of record by the reporting person's spouse and (c) 27,316 Common Shares owned by Roundwood Capital, L.P., a limited partnership of which the General Partner is Roundcap LLC, a limited liability company. The reporting person is one of three Managers and Members of Roundcap LLC and, as such, shares investment and voting power with the other two Managers and Members and participates equally with them in a 15% carried interest in all profits of the partnership. The reporting person is also the owner of a 6.38% limited partnership interest in Roundwood Capital, L.P. The reporting person disclaims beneficial ownership of the shares owned of record by the reporting person's spouse and the shares owned by the limited partnership other than the percentage of such shares that corresponds to his partnership percentage. (3) Includes 71,592 Common Shares owned by the trustee for a grantor retained annuity trust created by the reporting person and 71,593 Common Shares owned by the trustee for a grantor retained annuity trust created by the reporting person's spouse. The reporting person disclaims beneficial ownership of the shares held by the grantor retained annuity trust created by the reporting person's spouse. (4) Assumes conversion of all Class B Common Shares held by reporting person into Common Shares. ITEM 5. OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following. [ ] Not Applicable ITEM 6. OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. Not Applicable ITEM 7. IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. Not Applicable ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. Not Applicable ITEM 9. NOTICE OF DISSOLUTION OF GROUP. Not Applicable ITEM 10. CERTIFICATION. Not Applicable SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. February 12, 2002 -------------------------------------------- (Date) /s/ A. Malachi Mixon III -------------------------------------------- (Signature) A. Malachi Mixon III, Chairman and CEO -------------------------------------------- (Name/Title) -----END PRIVACY-ENHANCED MESSAGE-----