0001209191-15-013595.txt : 20150213 0001209191-15-013595.hdr.sgml : 20150213 20150213163738 ACCESSION NUMBER: 0001209191-15-013595 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20141231 FILED AS OF DATE: 20150213 DATE AS OF CHANGE: 20150213 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: Gudbranson Robert K CENTRAL INDEX KEY: 0001370884 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-15103 FILM NUMBER: 15615374 MAIL ADDRESS: STREET 1: ONE INVACARE WAY CITY: ELYRIA STATE: OH ZIP: 44035 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2014-12-31 0 0 0 0000742112 INVACARE CORP IVC 0001370884 Gudbranson Robert K ONE INVACARE WAY ELYRIA OH 44035 0 1 0 0 Interim President, CEO & CFO Common Shares 60139 D Employee Stock Option (Right to Buy) Common Shares 184300 184300 D Includes an additional 65 Common Shares acquired under the Invacare Corporation Dividend Reinvestment and Stock Purchase Plan. 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 184,300 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 April 1, 2008 and March 18, 2013, at exercise prices between $13.37 and $25.79 per share, will expire between April 1, 2018 and March 18, 2023, and became or will become exercisable between March 31, 2009 and March 31, 2017. /s/ Robert K. Gudbranson, by Kristofer K. Spreen, his attorney-in-fact pursuant to Power of Attorney, dated February 19, 2009, on file with the Commission 2015-02-13