0001144204-12-056501.txt : 20121017 0001144204-12-056501.hdr.sgml : 20121017 20121017082653 ACCESSION NUMBER: 0001144204-12-056501 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121015 FILED AS OF DATE: 20121017 DATE AS OF CHANGE: 20121017 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Altamirano Eduardo CENTRAL INDEX KEY: 0001558301 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13117 FILM NUMBER: 121147277 MAIL ADDRESS: STREET 1: 7107 INDUSTRIAL ROAD CITY: FLORENCE STATE: KY ZIP: 41042 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: 1231 BUSINESS ADDRESS: STREET 1: 7107 INDUSTRIAL ROAD CITY: FLORENCE STATE: KY ZIP: 41042 BUSINESS PHONE: (513) 618-0911 MAIL ADDRESS: STREET 1: 7107 INDUSTRIAL ROAD CITY: FLORENCE STATE: KY ZIP: 41042 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 v325915_4.xml OWNERSHIP DOCUMENT X0306 4 2012-10-15 0 0000754813 HealthWarehouse.com, Inc. HEWA 0001558301 Altamirano Eduardo C/O HEALTHWAREHOUSE.COM, INC 7107 INDUSTRIAL ROAD FLORENCE KY 41042 0 1 0 0 CFO and Treasurer Option to Purchase Common Stock 4.95 2012-10-15 4 A 0 250000 0 A 2022-10-15 Common Stock 250000 250000 D The option vests in three equal annual installments beginning on October 15, 2013. /s/ Eduardo Altamirano 2012-10-16