0001140361-17-015387.txt : 20170410 0001140361-17-015387.hdr.sgml : 20170410 20170410141244 ACCESSION NUMBER: 0001140361-17-015387 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170406 FILED AS OF DATE: 20170410 DATE AS OF CHANGE: 20170410 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: SCOTT MARK DOUGLAS CENTRAL INDEX KEY: 0001620378 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13117 FILM NUMBER: 17752874 MAIL ADDRESS: STREET 1: 104 FALCON RIDGE DRIVE CITY: WINNIPEG STATE: A2 ZIP: R3Y1X6 4 1 doc1.xml FORM 4 X0306 4 2017-04-06 0 0000754813 HealthWarehouse.com, Inc. HEWA 0001620378 SCOTT MARK DOUGLAS 104 FALCON RIDGE DRIVE WINNIPEG A2 R3Y1X6 MANITOBA, CANADA 1 0 1 0 Common Stock 2017-04-06 4 A 0 82298 .16 A 152965 D Common Stock 3772527 I Through Cormag Holdings, Ltd. Warrant to Purchase Common Stock 0.3 2014-08-21 2019-08-21 Common Stock 1333334 1333334 I Through Cormag Holdings, Ltd. Mark Scott is the president, sole stockholder and director of Cormag Holdings, Ltd. /s/ Mark Douglas Scott 2017-04-10