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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 | ||||||||
Stock Option (Right to Buy) | $ 23.625 | 12/16/2005 | A(1) | 1,249 | (2) | 12/16/2015 | Common Shares | 1,249 | $ 0 | 21,006 | D | ||||
Stock Option (Right to Buy) | $ 23.625 | 12/16/2005 | A(1) | 1,250 | (3) | 12/16/2015 | Common Shares | 1,250 | $ 0 | 22,256 | D | ||||
Stock Option (Right to Buy) | $ 23.625 | 12/16/2005 | A(1) | 1,666 | (4) | 12/16/2015 | Common Shares | 1,666 | $ 0 | 23,922 (5) | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HARRIS C MARTIN ONE INVACARE WAY ELYRIA, OH 44035 |
X |
/s/ C. Martin Harris by Kristofer K. Spreen, his attorney-in-fact pursuant to Power of Attorney, dated August 24, 2004, on file with the Commission. | 01/03/2006 | |
**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) | No transaction is being reported on this line. Reported on a previously filed Form 4. On December 20, 2005, the reporting person filed a Form 4 to report a grant of options that occured on December 16, 2005. Due to an inadvertant clerical error the number of shares reported in Columns 5, 7 and 9 on Table II was incorrect. This amended Form 4 is being filed to report the correct number of shares in Columns 5, 7 and 9 on Table II. |
(2) | This option shall become exercisable on January 1, 2007 and shall remain exercisable until December 31, 2007. |
(3) | This option shall become exercisable on January 1, 2008 and shall remain exercisable until December 31, 2008. |
(4) | This option shall become exercisable on January 1, 2009 and shall remain exercisable until December 31, 2009. |
(5) | The reporting person holds previously reported options to buy 19,757 Common Shares (with tandem tax withholding rights) under the Invacare Corporation 1994 Performance Plan and the Invacare Corporation 2003 Performance Plan, granted in reliance upon the exemption provided by Rule 16b-3. All options were granted between February 5, 2003 and March 2, 2005, at exercise prices between $22.68 to $47.01 per share, will expire between February 5, 2013 and March 2, 2015 and became or will become exercisable between December 31, 2003 and March 31, 2009. |