SEC Form 4 · accession 0001140361-17-015430
HealthWarehouse.com, Inc. · HEWA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Joe Heimbrock
Director · 10% Owner
Period of report
Apr 6, 2017
Accepted (ET)
Apr 10, 2017 · 4:39 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 Shares | Apr 6, 2017 | A | 82,298 | $0.16 | A | 240,307 | D | |
| Common Shares | Apr 7, 2017 | A | 937,500 | $0.16 | A | 1,177,807 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Purchase Common Stock | $0.35 | holding | — | — | — | Jul 6, 2016 | Jul 6, 2026 | Common Stock | 30,728 | 30,728 | D |
| Series B Convertible Preferred StockF2,F1 | $0.83 | holding | — | — | — | — | — | Common Stock | 5,637,059 | 5,637,059 | I |
Explanation of responses
- F1MVI Partners, LLC owns 493,913 shares of Series B Preferred Stock, which are convertible at any time, at the election of the holder, into Common Stock, and has no expiration date.
- F2Joe Heimbrock is the managing member of MVI Partners, LLC.