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