0001144204-13-006119.txt : 20130205
0001144204-13-006119.hdr.sgml : 20130205
20130205160655
ACCESSION NUMBER: 0001144204-13-006119
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130201
FILED AS OF DATE: 20130205
DATE AS OF CHANGE: 20130205
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dhadphale Lalit
CENTRAL INDEX KEY: 0001464481
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-13117
FILM NUMBER: 13574026
MAIL ADDRESS:
STREET 1: 14 CAMINO BARCELONA PLACE
CITY: HENDERSON
STATE: NV
ZIP: 89011
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
v333951_form4.xml
FORM 4
X0306
4
2013-02-01
0
0000754813
HealthWarehouse.com, Inc.
HEWA
0001464481
Dhadphale Lalit
C/O HEALTHWAREHOUSE.COM, INC.
7107 INDUSTRIAL ROAD
FLORENCE
KY
41042
1
1
1
0
President & CEO
Common Stock
2013-02-01
4
P
0
500000
1.00
A
2463387
D
Warrant to Purchase Common Stock (Right to Buy)
0.25
2013-02-01
4
A
0
1500000
A
2013-02-01
2018-02-01
Common Stock
1500000
1500000
D
In connection with the common stock purchase described in Table 1, Mr. Dhadphale received an immediately exercisable 5 year warrant to purchase 1,500,000 shares of common stock.
/s/ Lalit Dhadphale
2013-02-04