0001144204-11-061061.txt : 20111103 0001144204-11-061061.hdr.sgml : 20111103 20111103140501 ACCESSION NUMBER: 0001144204-11-061061 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111102 FILED AS OF DATE: 20111103 DATE AS OF CHANGE: 20111103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DELANEY PATRICK EDWARD CENTRAL INDEX KEY: 0001278210 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13117 FILM NUMBER: 111177206 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 v239096_4.xml OWNERSHIP DOCUMENT X0304 4 2011-11-02 0 0000754813 HealthWarehouse.com, Inc. HEWA 0001278210 DELANEY PATRICK EDWARD C/O HEALTHWAREHOUSE.COM, INC. 7107 INDUSTRIAL ROAD FLORENCE KY 41042 0 1 0 0 CFO and Treas. Common Stock 2011-11-02 4 M 0 37875 0.80 A 94125 D Common Stock 2011-11-02 4 F 0 5941 5.10 D 88184 D Option to Purchase Common Stock 0.80 2011-11-02 4 M 0 37875 0 D 2019-05-15 Common Stock 37875 17575 D Exercise Schedule - 33.33% on 5/15/2010, then an addition 8.33% on the last day of each calendar quarter commencing on 6/30/2010. /s/ Patrick E. Delaney 2011-11-02