0001065407-13-000437.txt : 20131210
0001065407-13-000437.hdr.sgml : 20131210
20131210114845
ACCESSION NUMBER: 0001065407-13-000437
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20131209
FILED AS OF DATE: 20131210
DATE AS OF CHANGE: 20131210
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: 131267659
MAIL ADDRESS:
STREET 1: 11077 BISCAYNE BLVD STE 101
CITY: MIAMI
STATE: FL
ZIP: 33161
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2013-12-09
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
2013-12-09
4
P
0
113543
.22
A
196876
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
2013-12-10