SEC Form 4 · accession 0001144204-16-128016
HealthWarehouse.com, Inc. · HEWA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey T Holtmeier
Officer — President & CEO · Director
Period of report
Oct 11, 2016
Accepted (ET)
Oct 13, 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 | holding | — | — | — | 19,900 | D | ||
| Common Stock | holding | — | — | — | 1,000 | I | Rx Investor Value Corp. |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Options to Acquire Common StockF1 | $0.29 | Oct 11, 2016 | A | 125,000 | A | Oct 11, 2016 | Oct 11, 2026 | Common | 125,000 | 125,000 | D |
Explanation of responses
- F1Represents options to acquire common stock granted under the Company's Long Term Incentive Plan.