<PAGE> 1
<TABLE>
<CAPTION>
FORM 4 OMB APPROVAL
-------------------------------
|_| Check this box if no longer U.S. SECURITIES AND EXCHANGE COMMISSION OMB Number 3235-0287
subject to Section 16. Form 4 Washington, D.C. 20549 Expires: February 1, 1994
or Form 5 obligations may Estimated average burden
continue. See Instruction 1(b). STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP hours per response..........0.5
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(f) of the Investment Company Act of 1940
<S> <C>
- ---------------------------------------------------------------------------------------------------------------------------------
1. Name and Address of Reporting Person | 2. Issuer Name and Ticker or Trading Symbol |
| |
| |
Mixon, III Aaron Malachi | INVACARE CORPORATION IVCR |
| |
| |
| |
| |
| |
- ----------------------------------------------------|---------------------------------------------------------------------------|
(Last) (First) (Middle) | 3. IRS or Social Security | 4. Statement for |
| Number of Reporting | Month/Year |
899 Cleveland Street | Person (Voluntary) | April, 1996 |
| | |
| ###-##-#### | |
- ----------------------------------------------------| |-----------------------------------------|
(Street) | | 5. If Amendment, Date of |
| | Original |
| | (Month/Year) |
Elyria Ohio 44035 | | |
- ----------------------------------------------------|----------------------------------------------------------------------------
(City) (State) (Zip) |
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially
| Owned
- ----------------------------------------------------|----------------------------------------------------------------------------
1. Title of Security | 2. Trans- | 3. Trans- | 4. Securities Acquired (A) |
(Instr. 3) | actions | action | or Disposed of (D) |
| Date | Code | (Instr. 3, 4 and 5) |
| | (Instr. 8) | |
| (Month/ | | |
| Day/ | | |
| Year) | | |
| | | |
| |-------------------|-----------------------------------------|
| | | | | (A) or | |
| | Code | V | Amount | (D) | Price |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Class B Common Shares | | J(1) | | | | |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Common Shares | 4/2/96 | J(2) | | 44,169 | (A) | N/A |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Common Shares | 4/29/96 | J(2) | | 813 | (A) | N/A |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Common Shares | | J(1) | | | | |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Common Shares | 4/24/96 | W(4) | V | 4,000 | (A) | N/A |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Common Shares | | J(1) | | | | |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Class B Common Shares | | J(1) | | | | |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Common Shares | 4/2/96 | J(2) | | 44,169 | (D) | N/A |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
Common Shares | 4/29/96 | J(2) | | 813 | (D) | N/A |
- ----------------------------------------------------|-------------|----------|--------|-------------|-----------|---------------|
| | | | | | |
- ---------------------------------------------------------------------------------------------------------------------------------
</TABLE>
<TABLE>
<CAPTION>
<S> <C>
- ------------------------------------------------------------------------------------------------------------------
6. Relationship of Reporting Person to Issuer |
(Check all applicable) |
|
X Director X 10% Owner |
------------- ------------- |
X Officer (give Other (specify |
------------- title ------------- below) |
below) |
|
|
Chairman, Chief Executive Officer and President |
- ------------------------------------------------------------------------------------------------------------------|
|
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|
- ------------------------------------------------------------------------------------------------------------------|
1. Title of Security | 5. Amount of | 6. Owner- |7. Nature |
(Instr. 3) | Securities | ship | of In- |
| Beneficially | Form: | direct |
| Owned at | Direct | Bene- |
| End of | (D) or | ficial |
| Month | Indirect | Owner- |
| (Instr. 3 and 4) | (I) | ship |
| | (Instr. 4) | (Instr. 4) |
| | | |
| | | |
| | | |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Class B Common Shares | 703,912 | D | |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Common Shares | | D | |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Common Shares | 814,554 | D | |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Common Shares | 7,600 | I | (3) |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Common Shares | 12,386 | I | (5) |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Common Shares | 7,162 | I | (6) |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Class B Common Shares | 11,552 | I | (6) |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Common Shares | | I | (7) |
- ----------------------------------------------------|----------------------|----------------|---------------------|
Common Shares | 0 | I | (7) |
- ----------------------------------------------------|----------------------|----------------|---------------------|
| | | |
- -------------------------------------------------------------------------------------------------------------------
<FN>
Reminder: Report on a separate line for each class if securities beneficially owned (Over)
directly or indirectly. SEC 1474 (3/91)
</TABLE>
(Print or Type Responses)
Page 1 of 3
<PAGE> 2
<TABLE>
<CAPTION>
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
<S> <C> <C> <C> <C> <C>
- ------------------------------------------------------------------------------------------------------------------------------
1. Title of Derivative Security| 2. Conver- |3. Trans- |4. Trans- |5. Number of |6. Date Exer- |
(Instr. 3) | sion or | action | action | Derivative | cisable and |
| Exercise| Date | Code | Securities Ac- | Expiration |
| Price of| (Month/ | | quired (A) or | Date |
| Deriv- | Day/ | (Instr. 8)| Disposed of | (Month/Day/ |
| ative | Year) | | (D) | Year) |
| Security| | | | |
| | | | (Instr. 3, 4 and 5)| |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | | |
| | | | |----------------------|
| | | | |Date | Expira- |
| | | | |Exer- | tion |
| | | | |cisable | Date |
| | |---------------|-----------------------| | |
| | | Code | V | (A) | (D) | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
Employee Stock Option (right to | (8) | (8) | J(1) | V | 613,320| | (8)| (8) |
buy) | | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ---------------------------------|--------------|-------------|--------|------|-----------|-----------|---------|------------|
| | | | | | | | |
- ------------------------------------------------------------------------------------------------------------------------------
</TABLE>
<TABLE>
<CAPTION>
<S> <C> <C> <C> <C> <C>
- ------------------------------------------------------------------------------------------------------------------------
|7. Title and Amount of Under-| 8. |9. Number |10. Owner- |11. Na- |
| lying Securities | Price | of Deriv- | ship | ture |
| | of | ative | Form | of In- |
| (Instr. 3 and 4) | Deriv- | Secur- | of De- | direct |
| | ative | ities | rivative | Bene- |
| | Secur- | Bene- | Secur- | ficial |
| | ity | ficially | ity; | Own- |
| | (Instr.| Owned | Direct | ership |
| | 5) | at End | (D) or | |
| | | of Month | Indi- | (Instr. 4)|
| | | | rect (I) | |
| | | (Instr. 4) | | |
| | | | (Instr. 4)| |
|-------------------------------| | | | |
| Amount or | | | | |
| Title Number of | | | | |
| Shares | | | | |
| | | | | |
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
Employee Stock Option (right to |Common Shares 613,320 | | 613,320| D | |
buy) | | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- ---------------------------------|-------------------------------|-----------|-------------|-------------|--------------|
| | | | | |
- -------------------------------------------------------------------------------------------------------------------------
Explanation of Responses:
<FN>
** Intentional misstatements or omissions of fact constitute Federal Criminal
Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed.
If space provided is insufficient, see Instruction 6 for procedure.
</TABLE>
/s/ A. Malachi Mixon III
--------------------------------
**Signature of Reporting Person
May 10, 1996
------------
Date
Page 2
Page 2 of 3 SEC 1474 (3/91)
<PAGE> 3
FOOTNOTES TO APRIL 1996 FORM 4 FOR A. MALACHI MIXON, III
(1) Ownership of these securities was reported on a previous
Form 4 or Form 5.
(2) Distribution of shares by Charitable Remainder Unitrust with
independent trustee to the reporting person.
(3) Owned by Spouse as Trustee for Son Under UTMA.
(4) Acquisition by Son through inheritance.
(5) Owned by Son.
(6) Owned by Trustee for Stock Bonus Plan. Information given is
based on a Plan Statement as of December 30, 1995, the most
recent information reasonably available.
(7) Owned by Charitable Remainder Unitrust with independent
trustee.
(8) The reporting person holds options to buy 613,320 Common
Shares (with tandem tax withholding rights) granted under
the Invacare Corporation Stock Option Plan or the Invacare
Corporation 1994 Performance Plan, in reliance upon the
exemption provided by Rule 16b-3. All options were granted
between March 31, 1987 and February 26, 1996, at exercise
prices ranging from $2.125 to $24.75 per share, will expire
between March 31, 1997 and February 26, 2006, and became or
will become exercisable between March 31, 1988 and March 31,
2000.
Page 3 of 3
<PAGE> 4
Calfee, Halter & Griswold
1400 McDonald Investment Center
800 Superior Avenue
Cleveland, Ohio 44114
Direct Dial No. 216/622-8380
May 10, 1996
VIA EDGAR
- ---------
Securities & Exchange Commission
Judiciary Plaza
450 Fifth Street, NW
Washington, DC 20549
Re: A. Malachi Mixon III - Form 4
Invacare Corporation
Commission File No. 0-12938
---------------------------
Ladies and Gentlemen:
On behalf of A. Malachi Mixon III, please find enclosed herewith
for filing, pursuant to Section 16(a) of the Securities Exchange Act of 1934, as
amended,
One (1) copy of a Form 4, Statement of Changes in
Beneficial Ownership for April, 1996.
Thank you for your attention to this matter. If you have any questions,
please do not hesitate to contact me at (216)622-8380.
Very truly yours,
/s/ David A. Basinski, Jr.
David A. Basinski, Jr.
DAB/sd
Enclosures
cc: A. Malachi Mixon III
Thomas R. Miklich
Dale C. LaPorte, Esq.
Douglas A. Neary, Esq.
(all w/encl.)