-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, GsLuD0ABxI0glm3GFtpP7SrFjqedAhxrMH0GJK8zO9/CzgkaBiUJa38L2iWTbKtu wGqDmzj2Evhu5wGsSFSL3Q== 0001209191-10-055773.txt : 20101118 0001209191-10-055773.hdr.sgml : 20101118 20101118153816 ACCESSION NUMBER: 0001209191-10-055773 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20101108 FILED AS OF DATE: 20101118 DATE AS OF CHANGE: 20101118 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SINGER KAREN CENTRAL INDEX KEY: 0001265181 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 000-13117 FILM NUMBER: 101202722 MAIL ADDRESS: STREET 1: 212 VACCARO DRIVE CITY: CRESSKILL STATE: NJ ZIP: 07626 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: 1202 BUSINESS ADDRESS: STREET 1: 100 COMMERCE BOULEVARD CITY: CINCINNATI, STATE: OH ZIP: 45140 BUSINESS PHONE: (513) 618-0911 MAIL ADDRESS: STREET 1: 100 COMMERCE BOULEVARD CITY: CINCINNATI, STATE: OH ZIP: 45140 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 3 1 doc3.xml FORM 3 SUBMISSION X0203 3 2010-11-08 0 0000754813 HealthWarehouse.com, Inc. HEWA 0001265181 SINGER KAREN 212 VACCARO DRIVE CRESSKILL NJ 07626 0 0 1 0 Warrant 1.60 2009-12-15 2014-12-15 Common Stock 156250 I As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC Warrant 1.60 2010-05-03 2015-05-03 Common Stock 156250 I As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC Series B Preferred Stock 0.00 2010-11-08 Common Stock 820570 I As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC 7% Secured Convertible Promissory Note 0.00 2010-11-08 2012-12-31 Common Stock 264550 I As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC Warrant 3.00 2010-11-08 2015-11-08 Common Stock 585808 I As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC The reporting person disclaims beneficial ownership of these securities except to the extent of her pecuniary interest therein. This filing shall not be deemed an admission that the reporting person is, for purposes of Section 16 of the Act or otherwise, the beneficial owner of any equity securities covered by this filing. N/A The reporting person holds 164,114 shares of Series B Preferred Stock. Each share of Series B Preferred Stock is immediately convertible into 5 shares of common stock. The convertible note is immediately convertible into 52,910 shares of Series B Preferred Stock. Each share of Series B Preferred Stock is immediately convertible into 5 shares of common stock. /s/ David J. Hoyt Attorney-in-fact 2010-11-18 EX-24.3_351795 2 poa.txt POA DOCUMENT LIMITED POWER OF ATTORNEY FOR SECTION 16 REPORTING OBLIGATIONS Know all by these presents, that the undersigned hereby makes, constitutes and appoints David J. Hoyt and Paul N. Silverstein, as the undersigned's true and lawful attorneys-in-fact with full power and authority as hereinafter described to: (1) prepare, execute and acknowledge for and on behalf of the undersigned, in the undersigned's capacity as an officer, director and/or a beneficial owner of more than 10 percent of common stock of HealthWarehouse.com, Inc.(the "Company"), Forms 3, 4, and 5 (including any amendments thereto) in accordance with Section 16(a) of the Securities Exchange Act of 1934 and the rules thereunder (the "Exchange Act"); (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to prepare, complete and execute any such Form 3, 4, or 5, prepare, complete and execute any amendment or amendments thereto, and timely deliver and file such form with the United States Securities and Exchange Commission and any stock exchange or similar authority; (3) seek or obtain, as the undersigned's representative and on the undersigned's behalf, information regarding transactions in the Company's securities from any third party, including brokers, employee benefit plan administrators and trustees, and the undersigned hereby authorizes any such person to release any such information to such attorney-in-fact and approves and ratifies any such release of information; and (4) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorneys-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by such attorney-in-fact on behalf of the undersigned pursuant to this Limited Power of Attorney shall be in such form and shall contain such terms and conditions as the attorneys-in-fact may approve in the attorneys-in-fact's discretion. The undersigned hereby grants to the attorneys-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that the attorneys-in-fact, or the substitute or substitutes of the attorneys-in-fact, shall lawfully do or cause to be done by virtue of this power of attorney and the rights and powers herein granted. The undersigned acknowledges that: (i) this power of attorney authorizes the attorneys-in-fact to act in their discretion in preparing Forms 3, 4 and 5 on information provided to the attorneys-in-fact without independent verification of such information; (ii) the attorneys-in-fact, in serving in such capacity at the request of the undersigned, is not assuming nor relieving, nor is the Company assuming nor relieving, any of the undersigned's responsibilities to comply with Section 16 of the Exchange Act; (iii) neither the Company nor the foregoing attorneys-in-fact assume any liability for the undersigned's responsibility to comply with the requirement of the Exchange Act or any obligation or liability of the undersigned for profit disgorgement under Section 16(b) of the Exchange Act. This Limited Power of Attorney shall remain in full force and effect until revoked by the undersigned in a signed writing delivered to the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Limited Power of Attorney to be executed as of this 18th day of November, 2010. /s/ Karen Singer Signature Karen Singer - ------------------------- Print Name -----END PRIVACY-ENHANCED MESSAGE-----