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