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