UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SCHEDULE 13G
(Rule 13d-102)
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT
TO § 240.13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED
PURSUANT TO § 240.13d-2
(Amendment No. 25)1
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
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. |
The information required in the remainder of this cover page shall not be deemed to be filed for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
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 |
||||
2. | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP * |
||||
(a) o | |||||
(b) o | |||||
Not Applicable | |||||
3. | SEC USE ONLY | ||||
4. | CITIZENSHIP OR PLACE OF ORGANIZATION | ||||
United States | |||||
5. | SOLE VOTING POWER | ||||
NUMBER OF | 2,201,162 | ||||
SHARES | 6. | SHARED VOTING POWER | |||
BENEFICIALLY | |||||
OWNED BY | 43,718 | ||||
EACH | 7. | SOLE DISPOSITIVE POWER | |||
REPORTING | |||||
PERSON | 2,201,162 | ||||
WITH | 8. | SHARED DISPOSITIVE POWER | |||
364,937 | |||||
9. | AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON | ||||
2,566,099 | |||||
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 | ||||
7.8% | |||||
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 §§ 240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a: |
(a) | o | Broker or dealer registered under Section 15 of the Act (15 U.S.C. 78o); | ||||
(b) | o | Bank as defined in Section 3(a)(6) of the Act (15 U.S.C. 78c); | ||||
(c) | o | Insurance Company as defined in Section 3(a)(19) of the Act (15 U.S.C. 78c); | ||||
(d) | o | Investment Company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C. 80a-8); | ||||
(e) | o | An investment adviser in accordance with §240.13-d-1(b)(1))(ii)(E); | ||||
(f) | o | An employee benefit plan or endowment fund; in accordance with § 240.13d-1(b)(1)(ii)(F); |
(g) | o | A parent holding company or control person in accordance with § 240.13d-1(b)(ii)(G); | ||||
(h) | o | A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813); | ||||
(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 (15 U.S.C. 80a-3); | ||||
(j) | o | A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J); | ||||
(k) | o | Group, in accordance with § 240.13d-1(b)(1)(ii)(K). |
(a) | Amount beneficially owned: | ||
2,566,099 (1) (2) (3) (4) | |||
(b) | Percent of class: | ||
7.8% | |||
(c) | Number of shares as to which such person has: |
(i) | Sole power to vote or to direct the vote 2,201,162 (1) | ||
(ii) | Shared power to vote or to direct the vote 43,718 (2) | ||
(iii) | Sole power to dispose or to direct the disposition of 2,201,162(1) | ||
(iv) | Shared power to dispose or to direct the disposition of 364,937 (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) 616,300 Common Shares, (b) 703,912 Class B Common Shares and (c) 880,950 Common Shares issuable upon exercise of options. Each Class B Common Share is convertible at any time into one Common Share. |
(2) | Includes (a) 18,600 Common Shares owned by the Trustee for the Invacare Retirement Savings Plan and (b) 25,118 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) 12,288 Common Shares owned by the trustee for the 1997 grantor retained annuity trust created by the reporting person, (b) 12,289 Common Shares owned by the trustee for the 1997 grantor retained annuity trust created by the reporting persons spouse, (c) 148,321 Common Shares owned by the trustee for the 2009 grantor retained annuity trust created by the reporting person, and (d) 148,321 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 11, 2011 | ||||
(Date) | ||||
/s/ A. Malachi Mixon, III | ||||
(Signature) | ||||
A. Malachi Mixon, III | ||||
(Name/Title) | ||||