SEC Form 4 · accession 0000927089-15-000220
HealthWarehouse.com, Inc. · HEWA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ned L Siegel
Director
Period of report
Apr 7, 2015
Accepted (ET)
Apr 9, 2015 · 10:18 am EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000754813
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | holding | — | — | — | 196,876 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Option to Purchase Common Stock | $0.09 | Apr 7, 2015 | A | 34,063 | A | Apr 7, 2015 | Apr 7, 2025 | Common Stock | 34,063 | 34,063 | D |
| Option to Purchase Common Stock | $0.12 | holding | — | — | — | Oct 23, 2014 | Oct 23, 2024 | Common Stock | 942,827 | 942,827 | D |
| Option to Purchase Common Stock | $0.16 | holding | — | — | — | Nov 30, 2014 | Aug 27, 2024 | Common Stock | 115,000 | 115,000 | D |
| Option to Purchase Common Stock | $0.30 | holding | — | — | — | Nov 30, 2014 | Nov 30, 2023 | Common Stock | 135,000 | 135,000 | D |
| Option to Purchase Common StockF1 | $1.45 | holding | — | — | — | — | Nov 30, 2023 | Common Stock | 100,000 | 100,000 | D |
Explanation of responses
- F1The options vest in three equal installments beginning on June 19, 2014.