Filing Details
- Accession Number:
- 0001209191-12-036317
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2012-07-02 19:19:56
- Reporting Period:
- 2012-06-28
- Filing Date:
- 2012-07-02
- Accepted Time:
- 2012-07-02 18:19:56
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 754813 | Healthwarehouse.com Inc. | HEWA | Retail-Drug Stores And Proprietary Stores (5912) | 222413505 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 949119 | Iii I Lloyd Miller | 222 Lakeview Avenue Suite 160-365 West Palm Beach FL 33401 | No | No | Yes | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock | Acquisiton | 2012-06-28 | 156,250 | $1.60 | 156,250 | No | 4 | X | Indirect | By Milfam I L.P. |
| Common Stock | Acquisiton | 2012-06-28 | 156,250 | $1.60 | 312,500 | No | 4 | X | Indirect | By Milfam I L.P. |
| Common Stock | Acquisiton | 2012-06-28 | 585,808 | $3.00 | 898,308 | No | 4 | X | Indirect | By Milfam I L.P. |
| Common Stock | Acquisiton | 2012-06-28 | 250,000 | $2.90 | 1,148,308 | No | 4 | X | Indirect | By Milfam I L.P. |
| Common Stock | Disposition | 2012-06-28 | 38,343 | $6.74 | 1,109,965 | No | 4 | S | Indirect | By Milfam I L.P. |
| Common Stock | Disposition | 2012-06-28 | 38,343 | $6.74 | 1,071,622 | No | 4 | S | Indirect | By Milfam I L.P. |
| Common Stock | Disposition | 2012-06-28 | 251,419 | $6.99 | 820,203 | No | 4 | S | Indirect | By Milfam I L.P. |
| Common Stock | Disposition | 2012-06-28 | 103,719 | $6.99 | 716,484 | No | 4 | S | Indirect | By Milfam I L.P |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | X | Indirect | By Milfam I L.P. |
| No | 4 | X | Indirect | By Milfam I L.P. |
| No | 4 | X | Indirect | By Milfam I L.P. |
| No | 4 | X | Indirect | By Milfam I L.P. |
| No | 4 | S | Indirect | By Milfam I L.P. |
| No | 4 | S | Indirect | By Milfam I L.P. |
| No | 4 | S | Indirect | By Milfam I L.P. |
| No | 4 | S | Indirect | By Milfam I L.P |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Common Stock | Warrant | Disposition | 2012-06-28 | 250,000 | $0.00 | 250,000 | $2.90 |
| Common Stock | Warrant | Disposition | 2012-06-28 | 156,250 | $0.00 | 156,250 | $1.60 |
| Common Stock | Warrant | Disposition | 2012-06-28 | 156,250 | $0.00 | 156,250 | $1.60 |
| Common Stock | Warrant | Disposition | 2012-06-28 | 585,808 | $0.00 | 585,808 | $3.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 0 | 2011-09-02 | 2016-09-02 | No | 4 | X | Indirect |
| 0 | 2009-12-15 | 2014-12-15 | No | 4 | X | Indirect |
| 0 | 2010-05-03 | 2015-05-03 | No | 4 | X | Indirect |
| 0 | 2010-11-08 | 2015-11-08 | No | 4 | X | Indirect |
Reported Derivative Holdings
| Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|---|---|---|---|
| Common Stock | Series B Preferred Stock | $0.00 | 2010-11-08 | 886,895 | 886,895 | Indirect | |
| Common Stock | 7% Senior Secured Convertible Promissory Note | $0.00 | 2010-11-08 | 2012-12-31 | 292,620 | 292,620 | Indirect |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 886,895 | 886,895 | Indirect | |
| 2012-12-31 | 292,620 | 292,620 | Indirect |
Footnotes
- The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein. This filing shall not be deemed an admission that the reporting person is, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the beneficial owner of any equity securites covered by this filing.
- The reporting person exercised a warrant to purchase 156,250 shares of common stock for the original conversion price of $1.60 per share. The reporting person paid the exercise price on a cashless basis, resulting in the company issuing 117,907 shares of common stock to the reporting person.
- The reporting person exercised a warrant to purchase 585,808 shares of common stock for the original conversion price of $3.00 per share. The reporting person paid the exercise price on a cashless basis, resulting in the company issuing 334,389 shares of common stock to the reporting person.
- The reporting person exercised a warrant to purchase 250,000 shares of common stock for the original conversion price of $2.90 per share. The reporting person paid the exercise price on a cashless basis, resulting in the company issuing 146,281 shares of common stock to the reporting person.
- The reporting person holds 177,379 shares of Series B Preferred Stock. This amount includes 11,605 shares of Series B Preferred Stock received by the reporting person as a dividend for the year 2011. Each share of Series B Preferrred Stock is immediately convertible into 5 shares of common stock.
- N/A
- The convertible note is immediately convertible into 58,524 shares of Series B Preferred Stock which amount includes a $53,048.39 interest payment on the convertible note received through May 8, 2012. Each share of Series B Preferred Stock is immediately convertible into 5 shares of common stock.
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