0001144204-11-051523.txt : 20110907
0001144204-11-051523.hdr.sgml : 20110907
20110907130338
ACCESSION NUMBER: 0001144204-11-051523
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110831
FILED AS OF DATE: 20110907
DATE AS OF CHANGE: 20110907
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dhadphale Lalit
CENTRAL INDEX KEY: 0001464481
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13117
FILM NUMBER: 111077671
MAIL ADDRESS:
STREET 1: 14 CAMINO BARCELONA PLACE
CITY: HENDERSON
STATE: NV
ZIP: 89011
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: 1202
BUSINESS ADDRESS:
STREET 1: 100 COMMERCE BOULEVARD
CITY: CINCINNATI,
STATE: OH
ZIP: 45140
BUSINESS PHONE: (513) 618-0911
MAIL ADDRESS:
STREET 1: 100 COMMERCE BOULEVARD
CITY: CINCINNATI,
STATE: OH
ZIP: 45140
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
4
1
v234271_4.xml
OWNERSHIP DOCUMENT
X0304
4
2011-08-31
0
0000754813
HealthWarehouse.com, Inc.
HEWA
0001464481
Dhadphale Lalit
C/O HEALTHWAREHOUSE.COM, INC.
7107 INDUSTRIAL ROAD
FLORENCE
KY
41042
1
1
1
0
President & CEO
Option to Purchase Common Stock
3.80
2011-08-31
4
A
0
250000
0
A
2011-08-31
2016-08-31
Common Stock
250000
250000
D
/s/ Lalit Dhadphale
2011-09-07