SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
MIXON AARON MALACHI III

(Last) (First) (Middle)
ONE INVACARE WAY

(Street)
ELYRIA OH 44035

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INVACARE CORP [ IVC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman
3. Date of Earliest Transaction (Month/Day/Year)
04/30/2013
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 342,546 D
Common Shares 04/30/2013 P 4,300 A $13.2164(1) 89,744 I By Spouse(2)
Common Shares 69,446 I By GRAT(2)(3)
Common Shares 12,289 I By GRAT(2)(4)
Common Shares 12,288 I By GRAT(5)
Common Shares 46,322 I By GRAT(6)
Common Shares 46,322 I By GRAT(2)(7)
Common Shares 18,900.69 I By Invacare Retirement Savings Plan(8)
Class B Common Shares 2,003 D
Class B Common Shares 330,907 I By GRAT(9)
Class B Common Shares 261,461 I By GRAT(2)(3)
Class B Common Shares 26,536 I By GRAT(10)
Class B Common Shares 83,005 I By GRAT(2)(11)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (12) (13) (13) Common Shares 1,092,200 1,092,200(13) D
Explanation of Responses:
1. Price reported constitutes the weighted average price of shares purchased. Shares were purchased in multiple transactions at prices ranging from $13.14 - $13.26. The reporting person hereby undertakes upon request of the Commission staff, the issuer or a security holder of the issuer, to provide full information regarding the number of shares purchased at each separate price.
2. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
3. Owned by the Trustee for the 2012 Grantor Retained Annuity Trust created by the reporting person's spouse.
4. Owned by the Trustee for the 1997 Grantor Retained Annuity Trust created by the reporting person's spouse.
5. Owned by the Trustee for the 1997 Grantor Retained Annuity Trust created by the reporting person.
6. Owned by the Trustee for the 2009 Grantor Retained Annuity Trust created by the reporting person.
7. Owned by the Trustee for the 2009 Grantor Retained Annuity Trust created by the reporting person's spouse.
8. Owned by the Trustee for the Invacare Retirement Savings Plan. The information given is based on a Plan Statement of December 31, 2012, the most recent information reasonably available.
9. Owned by the Trustee for the 2012 Grantor Retained Annuity Trust created by the reporting person.
10. Owned by the Trustee for the 2011 Grantor Retained Annuity Trust created by the reporting person.
11. Owned by the Trustee for the 2011 Grantor Retained Annuity Trust created by the reporting person's spouse.
12. No transaction is being reported on this line. Reported on a previously filed Form 3, Form 4, or Form 5.
13. The reporting person holds previously reported options to buy 1,092,200 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 2003 Performance Plan, granted in reliance upon the exemption provided by Rule 16b-3. All options were granted between August 20, 2003 and March 18, 2013, at exercise prices between $13.37 to $44.30 per share, will expire between August 20, 2013 and March 18, 2023 and became or will become exercisable between September 30, 2004 and March 31, 2017.
Remarks:
/s/ A. Malachi Mixon, by Kristofer K. Spreen, his attorney-in-fact pursuant to Power of Attorney, dated February 12, 2009, on file with the Commission. 05/01/2013
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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