0001144204-12-022883.txt : 20120420
0001144204-12-022883.hdr.sgml : 20120420
20120420141116
ACCESSION NUMBER: 0001144204-12-022883
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120330
FILED AS OF DATE: 20120420
DATE AS OF CHANGE: 20120420
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Stecker Matthew
CENTRAL INDEX KEY: 0001507698
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13117
FILM NUMBER: 12770479
MAIL ADDRESS:
STREET 1: 711 SOUTH BRYN MAWR AVE.
CITY: BRYN MAWR
STATE: PA
ZIP: 19010
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
v309992_4.xml
OWNERSHIP DOCUMENT
X0305
4
2012-03-30
0
0000754813
HealthWarehouse.com, Inc.
HEWA
0001507698
Stecker Matthew
C/O HEALTHWAREHOUSE.COM, INC.
7107 INDUSTRIAL ROAD
FLORENCE
KY
41042
1
0
0
0
Option to Purchase Common Stock
6.99
2012-03-30
4
A
0
15000
0
A
2022-03-30
Common Stock
15000
15000
D
The option vests in three equal annual installments beginning on March 30, 2013.
/s/ Matthew Stecker
2012-04-19