0000927089-16-000898.txt : 20160729
0000927089-16-000898.hdr.sgml : 20160729
20160729170203
ACCESSION NUMBER: 0000927089-16-000898
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160727
FILED AS OF DATE: 20160729
DATE AS OF CHANGE: 20160729
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: SELIGA DANIEL JOSEPH
CENTRAL INDEX KEY: 0001664191
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13117
FILM NUMBER: 161794775
MAIL ADDRESS:
STREET 1: HEALTHWAREHOUSE, COM, INC.
STREET 2: 7107 INDUSTRIAL ROAD
CITY: FLORENCE
STATE: KY
ZIP: 41042
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2016-07-27
0000754813
HealthWarehouse.com, Inc.
HEWA
0001664191
SELIGA DANIEL JOSEPH
C/O HEALTHWAREHOUSE.COM, INC.
7107 INDUSTRIAL ROAD
FLORENCE
KY
41042
0
1
0
0
COO and CFO
Common Stock
2016-07-27
4
X
0
150000
.12
A
150000
D
Common Stock
2016-07-27
4
X
0
150000
.12
A
300000
D
Common Stock
2016-07-27
4
X
0
75000
.12
A
375000
D
Common Stock
2016-07-27
4
X
0
500000
.10
A
875000
D
Common Stock
2016-07-27
4
X
0
250000
.12
A
1125000
D
Common Stock
2016-07-27
4
S
0
58064
.31
D
1066936
D
Common Stock
2016-07-27
4
S
0
58064
.31
D
1008872
D
Common Stock
2016-07-27
4
S
0
29032
.31
D
979840
D
Common Stock
2016-07-27
4
S
0
161290
.31
D
818550
D
Common Stock
2016-07-27
4
S
0
96774
.31
D
721776
D
Warrants
.12
2016-07-27
4
S
0
150000
0
D
2013-09-30
2018-09-30
Common Stock
150000
0
D
Warrants
.12
2016-07-27
4
S
0
150000
0
D
2014-03-28
2019-03-28
Common Stock
150000
0
D
Warrants
.12
2016-07-27
4
S
0
75000
0
D
2014-04-29
2019-04-29
Common Stock
75000
0
D
Warrants
.10
2016-07-27
4
S
0
500000
0
D
2015-03-01
2020-03-01
Common Stock
500000
0
D
Warrants
.12
2016-07-27
4
S
0
250000
0
D
2015-11-11
2020-11-11
Common Stock
250000
0
D
On July 27, 2016, the Reporting Person exercised warrants on a cashless basis and the issuer withheld a portion of the warrants to pay the exercise price.
/s/ Daniel J. Seliga
2016-07-29