SEC Form 4 · accession 0000927089-16-000899
HealthWarehouse.com, Inc. · HEWA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Ned L Siegel
Director
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 | M | 34,063 | $0.09 | A | 230,939 | D | |
| Common Stock | Jul 27, 2016 | M | 91,902 | $0.10 | A | 322,841 | D | |
| Common Stock | Jul 27, 2016 | M | 20,407 | $0.15 | A | 343,248 | D | |
| Common Stock | Jul 27, 2016 | M | 942,857 | $0.12 | A | 1,286,105 | D | |
| Common Stock | Jul 27, 2016 | M | 115,000 | $0.16 | A | 1,401,105 | D | |
| Common Stock | Jul 27, 2016 | M | 38,218 | $0.24 | A | 1,439,323 | D | |
| Common Stock | Jul 27, 2016 | M | 31,616 | $0.29 | A | 1,470,939 | D | |
| Common Stock | Jul 27, 2016 | M | 135,000 | $0.30 | A | 1,605,939 | D | |
| Common Stock | Jul 27, 2016 | F | 9,889 | $0.31 | D | 1,596,050 | D | |
| Common Stock | Jul 27, 2016 | F | 29,645 | $0.31 | D | 1,566,405 | D | |
| Common Stock | Jul 27, 2016 | F | 9,874 | $0.31 | D | 1,556,531 | D | |
| Common Stock | Jul 27, 2016 | F | 364,976 | $0.31 | D | 1,191,555 | D | |
| Common Stock | Jul 27, 2016 | F | 59,354 | $0.31 | D | 1,132,201 | D | |
| Common Stock | Jul 27, 2016 | F | 29,588 | $0.31 | D | 1,102,613 | D | |
| Common Stock | Jul 27, 2016 | F | 29,576 | $0.31 | D | 1,073,037 | D | |
| Common Stock | Jul 27, 2016 | F | 130,645 | $0.31 | D | 942,392 | 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 | 942,857 | D | Oct 23, 2014 | Oct 23, 2024 | Common Stock | 942,857 | 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 | Nov 13, 2016 | Nov 13, 2026 | 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 |