0001144204-13-016536.txt : 20130320
0001144204-13-016536.hdr.sgml : 20130320
20130320214613
ACCESSION NUMBER: 0001144204-13-016536
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20130318
FILED AS OF DATE: 20130320
DATE AS OF CHANGE: 20130320
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: 13706286
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
v338781_4.xml
OWNERSHIP DOCUMENT
X0306
4
2013-03-18
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 and CEO
Common Stock
2013-03-18
4
M
0
1500000
0.25
A
3963387
D
Common Stock
2013-03-18
4
F
0
216763
1.73
D
3746624
D
Warrant to Purchase Common Stock (Right to Buy)
0.25
2013-03-18
4
M
0
1500000
0
D
2013-02-01
2018-02-01
Common Stock
1500000
0
D
The reporting person exercised a warrant to purchase 1,500,000 shares of common stock for the original exercise price of $0.25 per share. Pursuant to the terms of the warrant, the reporting person paid the exercise price on a cashless basis, resulting in the Company issuing 1,283,237 shares of common stock to the Reporting Person.
/s/ Lalit Dhadphale
2013-03-18