Filing Details

Accession Number:
0001209191-12-036319
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-07-02 19:24:28
Reporting Period:
2012-06-28
Filing Date:
2012-07-02
Accepted Time:
2012-07-02 18:24:28
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
754813 Healthwarehouse.com Inc. HEWA Retail-Drug Stores And Proprietary Stores (5912) 222413505
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1265181 Karen Singer 212 Vaccaro Drive
Cresskill NJ 07626
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2012-06-28 156,250 $1.60 156,250 No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Common Stock Acquisiton 2012-06-28 156,250 $1.60 312,500 No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Common Stock Acquisiton 2012-06-28 585,808 $3.00 898,308 No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Common Stock Acquisiton 2012-06-28 250,000 $2.90 1,148,303 No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Common Stock Disposition 2012-06-28 38,343 $6.74 1,109,965 No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Common Stock Disposition 2012-06-28 38,343 $6.74 1,071,622 No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Common Stock Disposition 2012-06-28 251,419 $6.99 820,203 No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Common Stock Disposition 2012-06-28 103,719 $6.99 716,484 No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
No 4 X Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
No 4 S Indirect As the trustee to the Singer Children's Management Trust, the sole member of HWH Lending, LLC
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant Disposition 2012-06-28 250,000 $0.00 250,000 $2.90
Common Stock Warrant Disposition 2012-06-28 156,250 $0.00 156,250 $1.60
Common Stock Warrant Disposition 2012-06-28 156,250 $0.00 156,250 $1.60
Common Stock Warrant Disposition 2012-06-28 585,808 $0.00 585,808 $3.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2011-09-02 2016-09-02 No 4 X Indirect
0 2009-12-15 2014-12-15 No 4 X Indirect
0 2010-05-03 2015-05-03 No 4 X Indirect
0 2010-11-08 2015-11-08 No 4 X Indirect
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Series B Preferred Stock $0.00 2010-11-08 886,895 886,895 Indirect
Common Stock 7% Senior Secured Convertible Promissory Note $0.00 2010-11-08 2012-12-31 292,620 292,620 Indirect
Expiration Date Amount Remaning Holdings Nature of Ownership
886,895 886,895 Indirect
2012-12-31 292,620 292,620 Indirect
Footnotes
  1. 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.
  2. The reporting person exercised a warrant to purchase 156,250 shares of common stock for the original conversion price of $1.60 per share. The reporting person paid the exercise price on a cashless basis, resulting in the company issuing 117,907 shares of common stock to the reporting person.
  3. The reporting person exercised a warrant to purchase 585,808 shares of common stock for the original conversion price of $3.00 per share. The reporting person paid the exercise price on a cashless basis, resulting in the company issuing 334,389 shares of common stock to the reporting person.
  4. The reporting person exercised a warrant to purchase 250,000 shares of common stock for the original conversion price of $2.90 per share. The reporting person paid the exercise price on a cashless basis, resulting in the company issuing 146,281 shares of common stock to the reporting person.
  5. The reporting person holds 177,379 shares of Series B Preferred Stock. This amount includes 11,605 shares of Series B Preferred Stock received by the reporting person as a dividend for the year 2011. Each share of Series B Preferred Stock is immediately convertible into 5 shares of common stock.
  6. N/A
  7. The convertible note is immediately convertible into 58,524 shares of Series B Preferred Stock which amount includes a $53,048.39 interest payment on the convertible note received through May 8, 2012. Each share of Series B Preferred Stock is immediately convertible into 5 shares of common stock.