0001065407-13-000435.txt : 20131206
0001065407-13-000435.hdr.sgml : 20131206
20131206112030
ACCESSION NUMBER: 0001065407-13-000435
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131130
FILED AS OF DATE: 20131206
DATE AS OF CHANGE: 20131206
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: Bennani Youssef
CENTRAL INDEX KEY: 0001476508
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13117
FILM NUMBER: 131261809
MAIL ADDRESS:
STREET 1: 100 COMMERCE BLVD.
CITY: CINCINNATI
STATE: OH
ZIP: 45140
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2013-11-30
0000754813
HealthWarehouse.com, Inc.
HEWA
0001476508
Bennani Youssef
C/O HEALTHWAREHOUSE.COM, INC.
7107 INDUSTRIAL ROAD
FLORENCE
KY
41042
1
0
0
0
Option to Purchase Common Stock
.30
2013-11-30
4
A
0
135000
0
A
2014-11-30
2023-11-30
Common Stock
135000
135000
D
Option to Purchase Common Stock
2.50
2019-11-11
Common Stock
150000
150000
D
Option to Purchase Common Stock
4.10
2021-02-11
Common Stock
15000
15000
D
Option to Purchase Common Stock
6.99
2022-03-30
Common Stock
15000
15000
D
The option vests in three equal annual installments beginning on November 11, 2010.
The option vests in three equal annual installments beginning on February 11, 2012.
The option vests in three equal annual installments beginning on March 30, 2013.
/s/Youssef Bennani
2013-12-05