0000927089-14-000350.txt : 20140904 0000927089-14-000350.hdr.sgml : 20140904 20140904151147 ACCESSION NUMBER: 0000927089-14-000350 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140827 FILED AS OF DATE: 20140904 DATE AS OF CHANGE: 20140904 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HealthWarehouse.com, Inc. CENTRAL INDEX KEY: 0000754813 STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-DRUG STORES AND PROPRIETARY STORES [5912] IRS NUMBER: 222413505 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7107 INDUSTRIAL ROAD CITY: FLORENCE STATE: KY ZIP: 41042 BUSINESS PHONE: (513) 618-0911 MAIL ADDRESS: STREET 1: 7107 INDUSTRIAL ROAD CITY: FLORENCE STATE: KY ZIP: 41042 FORMER COMPANY: FORMER CONFORMED NAME: HealthWarehouse, Inc. DATE OF NAME CHANGE: 20090818 FORMER COMPANY: FORMER CONFORMED NAME: CLACENDIX, INC. DATE OF NAME CHANGE: 20080107 FORMER COMPANY: FORMER CONFORMED NAME: ION NETWORKS INC DATE OF NAME CHANGE: 19990413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL NED L CENTRAL INDEX KEY: 0001288179 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13117 FILM NUMBER: 141083000 MAIL ADDRESS: STREET 1: 11077 BISCAYNE BLVD STE 101 CITY: MIAMI STATE: FL ZIP: 33161 4 1 edgar.xml PRIMARY DOCUMENT X0306 4 2014-08-27 0000754813 HealthWarehouse.com, Inc. HEWA 0001288179 SIEGEL NED L C/O HEALTHWAREHOUSE.COM, INC. 7107 INDUSTRIAL ROAD FLORENCE KY 41042 1 0 0 0 Common Stock 196876 D Option to Purchase Common Stock .16 2014-08-27 4 A 0 115000 0 A 2014-11-30 2024-08-27 Common Stock 115000 115000 D Option to Purchase Common Stock .30 2014-11-30 2023-11-30 Common Stock 135000 135000 D Option to Purchase Common Stock 1.45 2023-11-30 Common Stock 100000 100000 D The options vest in three equal installments beginning on June 19, 2014. /s/Ned L. Siegel 2014-09-04