0001144204-12-001529.txt : 20120110
0001144204-12-001529.hdr.sgml : 20120110
20120110115541
ACCESSION NUMBER: 0001144204-12-001529
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120106
FILED AS OF DATE: 20120110
DATE AS OF CHANGE: 20120110
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: 12519204
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
v245067_4.xml
OWNERSHIP DOCUMENT
X0304
4
2012-01-06
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 Treasurer
Common Stock
2012-01-06
4
M
0
105450
0.80
A
193634
D
Common Stock
2012-01-06
4
F
0
12592
6.70
D
181042
D
Option to Purchase Common Stock
.80
2012-01-06
4
M
0
105450
0
D
2009-05-15
2014-05-15
Common Stock
105450
0
D
/s/ Patrick E. Delaney
2012-01-09