-----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, JT7RH7M8YTAjiAY84biVlwBW1nBgI1jUPQZxocN6FEAUl5XvGUvUyC5D9/jiZMMO vZCQw+supZoyQqeZEsHg1g== 0001209191-04-015628.txt : 20040312 0001209191-04-015628.hdr.sgml : 20040312 20040312173127 ACCESSION NUMBER: 0001209191-04-015628 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040310 FILED AS OF DATE: 20040312 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RICHEY JOSEPH B II CENTRAL INDEX KEY: 0000937769 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 04667149 BUSINESS ADDRESS: STREET 1: 425 COPRORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 BUSINESS PHONE: 2166228207 MAIL ADDRESS: STREET 1: 425 CORPORATE CIRCLE CITY: GOLDEN STATE: CO ZIP: 80401 4 1 doc4.xml FORM 4 SUBMISSION X0201 4 2004-03-10 0 0000742112 INVACARE CORP IVC 0000937769 RICHEY JOSEPH B II ONE INVACARE WAY ELYRIA OH 44036 1 1 0 0 Senior Vice President Common Shares 621485.0000 D Class B Common Shares 360262.0000 D Common Shares 9000.0000 I By Invacare Retirement Savings Plan Common Shares 10134.0000 I By Charitable Remainder Unitrust Class B Common Shares 16000.0000 I IRA Employee Stock Option (Right to Buy) Common Shares 222900.0000 222900.0000 D Phantom Stock 2004-03-10 4 A 0 104.0000 45.7800 A Common Shares 104.0000 6615.0000 D Owned by Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2003, the most recent information reasonably available. No transaction is being reported on this line. Reported on a previously filed Form 3, Form 4, or Form 5. The reporting person holds previously reported options to buy 222,900 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 1994 Performance Plan and the Invacare Corporation 2003 Performance Plan, in reliance upon the exemption provided by Rule 16b-3. All options were granted between February 17, 1995 and August 20, 2003, at exercise prices between $17.00 to $37.70 per share, will expire between February 17, 2005 and August 20, 2013 and became or will become exercisable between February 17, 1996 and September 30, 2007. 1-for-1 Upon cessation of employment in accordance with the terms and conditions of the Invacare Corporation 401(k) Plus Benefit Equalization Plan. Owned by Trustee for the Invacare Corporation 401(k) Plus Benefit Equalization Plan. /s/ Joseph B. Richey, II 2004-03-12 -----END PRIVACY-ENHANCED MESSAGE-----