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