SEC Form 4 · accession 0001209191-16-150845
INVACARE CORP · IVC
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Patricia A. Stumpp
Officer — Senior VP, Human Resources
Period of report
Nov 15, 2016
Accepted (ET)
Nov 17, 2016 · 4:18 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 SharesF1 | Nov 15, 2016 | F | 249 | $11.90 | D | 26,872 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F3,F4,F2 | — | holding | — | — | — | — | — | Common Shares | 88,300 | 88,300 | D |
Explanation of responses
- F1The surrender of these shares is for tax withholding purposes in conjunction with the vesting of restricted shares held by the reporting person.
- 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 88,300 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 August 22, 2007 and March 18, 2013, at exercise prices between $13.37 to $25.79 per share, will expire between August 22, 2017 and March 18, 2023, and became or will become exercisable between September 30, 2008 and March 31, 2017.
- F4The current balance reflects the expiration of 3,100 options on August 23, 2016.