o | Rule 13d-1(b) | ||
o | Rule 13d-1(c) | ||
þ | Rule 13d-1(d) |
1 | The remainder of this cover page shall be filled out for a reporting persons initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
CUSIP No. |
461203 10 1 |
13G | Page | 2 |
of | 6 Pages |
1 | NAMES OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY) A. Malachi Mixon, III |
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2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * |
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(a) o | |||||
(b) o | |||||
Not Applicable | |||||
3 | SEC USE ONLY | ||||
4 | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
United States | |||||
5 | SOLE VOTING POWER | ||||
NUMBER OF | 2,459,149 | ||||
SHARES | 6 | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | 70,893 | ||||
EACH | 7 | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | 2,459,149 | ||||
WITH | 8 | SHARED DISPOSITIVE POWER | |||
452,046 | |||||
9 | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
2,911,195 | |||||
10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES * | ||||
o | |||||
Not Applicable | |||||
11 | PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 | ||||
8.8% | |||||
12 | TYPE OF REPORTING PERSON * | ||||
IN |
Item 1(a).
|
Name of Issuer: | |
Invacare Corporation | ||
Item 1(b).
|
Address of Issuers Principal Executive Offices: | |
One Invacare Way, Elyria, Ohio 44035 | ||
Item 2(a).
|
Name of Person Filing: | |
A. Malachi Mixon, III | ||
Item 2(b).
|
Address of Principal Business Office or, if None, Residence: | |
One Invacare Way, Elyria, Ohio 44035 | ||
Item 2(c).
|
Citizenship: | |
United States | ||
Item 2(d).
|
Title of Class of Securities: | |
Common Shares | ||
Item 2(e)
|
CUSIP Number: | |
461203 10 1 | ||
Item 3:
|
If this statement is filed pursuant to Rules 13d-1(b), or 13d-2(b) or (c), check whether the person filing is a: |
(a) | o | Broker or dealer registered under Section 15 of the Act; | ||||
(b) | o | Bank as defined in Section 3(a)(6) of the Act; | ||||
(c) | o | Insurance Company as defined in Section 3(a)(19) of the Act; | ||||
(d) | o | Investment Company registered under Section 8 of the Investment Company Act; | ||||
(e) | o | An investment adviser in accordance with Rule 13-d-1(b)(1))(ii)(E); | ||||
(f) | o | An employee benefit plan or endowment fund; in accordance with Rule 13d-1(b)(1)(ii)(F); |
(g) | o | A parent holding company or control person in accordance with Rule 13d-1(b)(ii)(G); | ||||
(h) | o | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act; | ||||
(i) | o | A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act; | ||||
(j) | o | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J); | ||||
(k) | o | Group, in accordance with Rule 13d-1(b)(1)(ii)(K). |
(a) | Amount beneficially owned: | ||
2,911,195 (1) (2) (3) (4) | |||
(b) | Percent of class: | ||
8.8% | |||
(c) | Number of shares as to which such person has: |
(i) | Sole power to vote or to direct the vote 2,459,149 (1) | ||
(ii) | Shared power to vote or to direct the vote 70,893 (2) | ||
(iii) | Sole power to dispose or to direct the disposition of 2,459,149(1) | ||
(iv) | Shared power to dispose or to direct the disposition of 452,046 (2) (3) |
Instruction. For computations regarding securities which represent a right to acquire an underlying security, see Rule 13d-3(d)(1). | |||
(1) | Includes (a) 590,787 Common Shares, (b) 703,912 Class B Common Shares and (c) 1,164,450 Common Shares issuable upon exercise of options. Each Class B Common Share is convertible at any time into one Common Share. |
(2) | Includes (a) 18,721 Common Shares owned by the Trustee for the Invacare Retirement Savings Plan and (b) 52,172 Common Shares owned of record by the reporting persons spouse. The reporting person disclaims beneficial ownership of the shares owned of record by the reporting persons spouse. | ||
(3) | Includes (a) 24,576 Common Shares owned by the trustee for the 1997 grantor retained annuity trust created by the reporting person, (b) 24,577 Common Shares owned by the trustee for the 1997 grantor retained annuity trust created by the reporting persons spouse, (c) 166,000 Common Shares owned by the trustee for the 2009 grantor retained annuity trust created by the reporting person, and (d) 166,000 Common Shares owned by the trustee for the 2009 grantor retained annuity trust created by the reporting persons spouse. The reporting person disclaims beneficial ownership of the shares held by the grantor retained annuity trusts created by the reporting persons spouse. | ||
(4) | Assumes conversion of all Class B Common Shares held by the reporting person into Common Shares. |
February 12, 2010 | ||||
(Date) | ||||
/s/ A. Malachi Mixon, III | ||||
(Signature) | ||||
A. Malachi Mixon, III | ||||
(Name/Title) |