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