SEC Form 5 · accession 0001209191-15-013637
INVACARE CORP · IVC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Dan T Moore III
Director
Period of report
Dec 31, 2014
Accepted (ET)
Feb 13, 2015 · 4:54 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000742112
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Shares | holding | — | — | — | 7,171 | D | ||
| Common Shares | holding | — | — | — | 104,917 | I | By Trust | |
| Common SharesF1 | holding | — | — | — | 1,082 | I | By IRA |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (Right to Buy)F3,F4,F2 | — | holding | — | — | — | — | — | Common Shares | 18,569 | 18,569 | D |
Explanation of responses
- F1These shares are held by a local bank as custodian for an IRA. Due to a bookeeping error these shares were inadvertantly omitted from the reporting person's prior reports and is not reflective of any acquisition or sale.
- F2No transaction is being reported on this line. Reported on a previously filed Form 3, Form 4, or Form 5.
- F3The reporting person holds previously reported options to buy 18,569 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 March 2, 2005 and August 20, 2008, at exercise prices between $23.71 and $47.01 per share, will expire between March 2, 2015 and August 20, 2018, and became exercisable between December 21, 2005 and September 30, 2012.
- F4The current balance reflects the expiration of 2,000 options on March 11, 2014.