SEC Form 4 · accession 0000927089-16-000895
HealthWarehouse.com, Inc. · HEWA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Youssef Bennani
Director
Period of report
Jul 27, 2016
Accepted (ET)
Jul 29, 2016 · 5:00 pm 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 | Jul 27, 2016 | M | 34,063 | $0.09 | A | 34,063 | D | |
| Common Stock | Jul 27, 2016 | M | 91,902 | $0.10 | A | 125,965 | D | |
| Common Stock | Jul 27, 2016 | M | 20,407 | $0.15 | A | 146,372 | D | |
| Common Stock | Jul 27, 2016 | M | 200,000 | $0.12 | A | 346,372 | D | |
| Common Stock | Jul 27, 2016 | M | 115,000 | $0.16 | A | 461,372 | D | |
| Common Stock | Jul 27, 2016 | M | 38,218 | $0.24 | A | 499,590 | D | |
| Common Stock | Jul 27, 2016 | M | 31,616 | $0.29 | A | 531,206 | D | |
| Common Stock | Jul 27, 2016 | M | 135,000 | $0.30 | A | 666,206 | D | |
| Common Stock | Jul 27, 2016 | F | 9,889 | $0.31 | D | 656,317 | D | |
| Common Stock | Jul 27, 2016 | F | 29,645 | $0.31 | D | 626,672 | D | |
| Common Stock | Jul 27, 2016 | F | 9,874 | $0.31 | D | 616,798 | D | |
| Common Stock | Jul 27, 2016 | F | 77,419 | $0.31 | D | 539,379 | D | |
| Common Stock | Jul 27, 2016 | F | 59,354 | $0.31 | D | 480,025 | D | |
| Common Stock | Jul 27, 2016 | F | 29,588 | $0.31 | D | 450,437 | D | |
| Common Stock | Jul 27, 2016 | F | 29,576 | $0.31 | D | 420,861 | D | |
| Common Stock | Jul 27, 2016 | F | 130,645 | $0.31 | D | 290,216 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options | $0.09 | Jul 27, 2016 | M | 34,063 | D | Apr 7, 2015 | Apr 7, 2025 | Common Stock | 34,063 | 0 | D |
| Stock Options | $0.10 | Jul 27, 2016 | M | 91,902 | D | Oct 10, 2015 | Oct 10, 2025 | Common Stock | 91,902 | 0 | D |
| Stock Options | $0.15 | Jul 27, 2016 | M | 20,407 | D | Jul 10, 2015 | Jul 10, 2025 | Common Stock | 20,407 | 0 | D |
| Stock Options | $0.12 | Jul 27, 2016 | M | 200,000 | D | Oct 23, 2014 | Oct 23, 2024 | Common Stock | 200,000 | 0 | D |
| Stock Options | $0.16 | Jul 27, 2016 | M | 115,000 | D | Aug 27, 2014 | Aug 27, 2024 | Common Stock | 115,000 | 0 | D |
| Stock Options | $0.24 | Jul 27, 2016 | M | 38,218 | D | Jan 13, 2014 | Jan 13, 2024 | Common Stock | 38,218 | 0 | D |
| Stock Options | $0.29 | Jul 27, 2016 | M | 31,616 | D | Apr 8, 2016 | Apr 8, 2026 | Common Stock | 31,616 | 0 | D |
| Stock Options | $0.30 | Jul 27, 2016 | M | 135,000 | D | Nov 30, 2013 | Nov 30, 2023 | Common Stock | 135,000 | 0 | D |