0001144204-16-128016.txt : 20161013 0001144204-16-128016.hdr.sgml : 20161013 20161013170050 ACCESSION NUMBER: 0001144204-16-128016 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161011 FILED AS OF DATE: 20161013 DATE AS OF CHANGE: 20161013 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Holtmeier Jeffrey T CENTRAL INDEX KEY: 0001529051 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13117 FILM NUMBER: 161935398 MAIL ADDRESS: STREET 1: 275 SHORELINE DRIVE STREET 2: SUITE 500 CITY: REDWOOD CITY STATE: CA ZIP: 94065 4 1 v450540_form4.xml FORM 4 X0306 4 2016-10-11 0 0000754813 HealthWarehouse.com, Inc. HEWA 0001529051 Holtmeier Jeffrey T 8380 KUGLER MILL ROAD CINCINNATI OH 45243 1 1 0 0 President & CEO Common Stock 19900 D Common Stock 1000 I Rx Investor Value Corp. Options to Acquire Common Stock .29 2016-10-11 4 A 0 125000 0 A 2016-10-11 2026-10-11 Common 125000 125000 D Represents options to acquire common stock granted under the Company's Long Term Incentive Plan. /s/ Jeffrey T. Holtmeier 2016-10-13