-----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, CQQFGD+11rzFRYZjpkKWSnOWglOl3iyxmIQGgaECrdPjLLGuFZfLB2qCi/0x3I0q bFxmJQmm6+riM9PWH0vQ8A== 0001209191-04-010380.txt : 20040217 0001209191-04-010380.hdr.sgml : 20040216 20040217122028 ACCESSION NUMBER: 0001209191-04-010380 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031231 FILED AS OF DATE: 20040217 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MOORE DAN T III CENTRAL INDEX KEY: 0001207229 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 04605749 BUSINESS ADDRESS: STREET 1: 200 PUBLIC SQ. CITY: CLEVELAND STATE: OH ZIP: 44114 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 5 1 doc5.xml FORM 5 SUBMISSION X0201 5 2003-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001207229 MOORE DAN T III ONE INVACARE WAY ELYRIA OH 44035 1 0 0 0 Common Shares 2003-03-04 5 G 0 1315.0000 0 D 107917.0000 D Common Shares 2003-05-30 5 G 0 1560.0000 0 D 106357.0000 D Common Shares 2003-08-19 5 G 0 430.0000 0 D 105927.0000 D Common Shares 54332.0000 I By Trust Employee Stock Option (Right to Buy) Common Shares 22847.0000 22847.0000 D No transaction is being reported on this line. Reported on a previously filed Form 3, Form 4, or Form 5. Held by a local bank as Trustee for an IRA Trust The reporting person holds previously reported options to buy 22,847 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 1994 Performance Plan, in reliance upon the exemption provided by Rule 16b-3. All options were granted between March 2, 1999 and December 15, 2003, at exercise prices between $16.3125 to $33.8438 per share, will expire between March 2, 2009 and December 15, 2013 and became or will become exercisable between March 31, 2000 and March 31, 2007. /s/ Dan T. Moore 2004-02-12 -----END PRIVACY-ENHANCED MESSAGE-----