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