Filing Details

Accession Number:
0001065407-13-000425
Form Type:
4
Zero Holdings:
No
Publication Time:
2013-12-04 16:35:18
Reporting Period:
2013-11-30
Filing Date:
2013-12-04
Accepted Time:
2013-12-04 16:35:18
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
1288179 L Ned Siegel C/O Healthwarehouse.com, Inc.
7107 Industrial Road
Florence KY 41042
Yes No No 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 2013-12-02 83,333 $0.30 83,333 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Option to Purchase Common Stock Acquisiton 2013-11-30 135,000 $0.00 135,000 $0.30
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
135,000 2014-11-30 2023-11-30 No 4 A Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Common Stock Option to Purchase Common Stock $1.45 2023-11-30 100,000 100,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2023-11-30 100,000 100,000 Direct
Footnotes
  1. The options vest in three equal installments beginning on June 19, 2014.