SEC Form 4 · accession 0000927089-16-000898
HealthWarehouse.com, Inc. · HEWA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Daniel Joseph Seliga
Officer — COO and CFO
Period of report
Jul 27, 2016
Accepted (ET)
Jul 29, 2016 · 5:02 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 | X | 150,000 | $0.12 | A | 150,000 | D | |
| Common Stock | Jul 27, 2016 | X | 150,000 | $0.12 | A | 300,000 | D | |
| Common Stock | Jul 27, 2016 | X | 75,000 | $0.12 | A | 375,000 | D | |
| Common Stock | Jul 27, 2016 | X | 500,000 | $0.10 | A | 875,000 | D | |
| Common Stock | Jul 27, 2016 | X | 250,000 | $0.12 | A | 1,125,000 | D | |
| Common Stock | Jul 27, 2016 | S | 58,064 | $0.31 | D | 1,066,936 | D | |
| Common Stock | Jul 27, 2016 | S | 58,064 | $0.31 | D | 1,008,872 | D | |
| Common Stock | Jul 27, 2016 | S | 29,032 | $0.31 | D | 979,840 | D | |
| Common Stock | Jul 27, 2016 | S | 161,290 | $0.31 | D | 818,550 | D | |
| Common Stock | Jul 27, 2016 | S | 96,774 | $0.31 | D | 721,776 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Warrants | $0.12 | Jul 27, 2016 | S | 150,000 | D | Sep 30, 2013 | Sep 30, 2018 | Common Stock | 150,000 | 0 | D |
| Warrants | $0.12 | Jul 27, 2016 | S | 150,000 | D | Mar 28, 2014 | Mar 28, 2019 | Common Stock | 150,000 | 0 | D |
| Warrants | $0.12 | Jul 27, 2016 | S | 75,000 | D | Apr 29, 2014 | Apr 29, 2019 | Common Stock | 75,000 | 0 | D |
| Warrants | $0.10 | Jul 27, 2016 | S | 500,000 | D | Mar 1, 2015 | Mar 1, 2020 | Common Stock | 500,000 | 0 | D |
| Warrants | $0.12 | Jul 27, 2016 | S | 250,000 | D | Nov 11, 2015 | Nov 11, 2020 | Common Stock | 250,000 | 0 | D |
Explanation of responses
- F1On July 27, 2016, the Reporting Person exercised warrants on a cashless basis and the issuer withheld a portion of the warrants to pay the exercise price.