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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 1474 (9-02) |
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 Underlying Securities (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 of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Employee Stock Options (Right to Buy) | $ 41.87 | 09/08/2005 | A(1) | 2,750 | 09/30/2006 | 09/08/2015 | Common Shares | 2,750 | $ 0 | 10,750 | D | ||||
Employee Stock Options (Right to Buy) | $ 41.87 | 09/08/2005 | A(1) | 2,750 | 09/30/2007 | 09/08/2015 | Common Shares | 2,750 | $ 0 | 13,500 | D | ||||
Employee Stock Options (Right to Buy) | $ 41.87 | 09/08/2005 | A(1) | 2,750 | 09/30/2008 | 09/08/2015 | Common Shares | 2,750 | $ 0 | 16,250 | D | ||||
Employee Stock Options (Right to Buy) | $ 41.87 | 09/08/2005 | A(1) | 2,750 | 09/30/2009 | 09/08/2015 | Common Shares | 2,750 | $ 0 | 19,000 (2) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
ODriscoll Danny ONE INVACARE WAY ELYRIA, OH 44035 |
Managing Dir./Asia Pacific |
/s/ Danny O'Driscoll, by Douglas A. Neary, his attorney-in-fact, pursuant to Power of Attorney, dated May 26, 2005 on file with the Commission. | 09/12/2005 | |
**Signature of Reporting Person | Date |
* | 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). |
(1) | The reporting person was granted options to purchase Common Shares (with tandem tax withholding rights) under the Invacare Corporation 2003 Performance Plan in reliance upon an exemption provided under Rule 16b-3. |
(2) | The reporting person holds previously reported options to buy 8,000 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 on May 25, 2005, at an exercise price of $44.74 per share, will expire on May 25, 2015 and will become exercisable between March 31, 2006 and March 31, 2009. |