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Peters Joseph B – ‘3/A’ for 4/20/17 re: HealthWarehouse.com, Inc.

On:  Thursday, 4/20/17, at 11:28am ET   ·   For:  4/20/17   ·   Accession #:  1140361-17-16231   ·   File #:  0-13117

Previous ‘3’:  ‘3’ on 4/18/17 for 4/11/17   ·   Latest ‘3’:  This Filing

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  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 4/20/17  Peters Joseph B                   3/A                    1:8K   HealthWarehouse.com, Inc.         Edgarfilings Ltd.

Amendment to Initial Statement of Beneficial Ownership of Securities by an Insider   —   Form 3   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 3/A         Amendment to Initial Statement of Beneficial        HTML      3K 
                Ownership of Securities by an Insider --                         
                doc1.xml/2.6                                                     




        

This ‘3/A’ Document is an XML Data File that may be rendered in various formats:

  Form 3    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Amendment to Initial Statement of Beneficial Ownership of Securities by an Insider
 
FORM 3UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0104
Estimated average burden
hours per response:0.5
1. Name and Address of Reporting Person*
Peters Joseph B

(Last)(First)(Middle)
7107 INDUSTRIAL ROAD

(Street)
FLORENCEKY41042

(City)(State)(Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
4/20/17
3. Issuer Name and Ticker or Trading Symbol
HealthWarehouse.com, Inc. [ HEWA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
XOfficer (give title below) Other (specify below)
Interim President and CEO
5. If Amendment, Date of Original Filed (Month/Day/Year)
4/11/17
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Shares0D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year)3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date ExercisableExpiration DateTitleAmount or Number of Shares
Common Shares (1) 4/3/25Common Shares100,0000.09D
Common Shares (2) 8/5/25Common Shares100,0000.11D
Common Shares (2) 11/9/26Common Shares1,0000.35D
Common Shares (2) 12/23/23Common Shares40,0000.53D
Common Shares (2) 2/15/23Common Shares7,0001.6D
Common Shares (2) 10/15/22Common Shares3,0004.95D
Common Shares (2) 3/30/22Common Shares15,0006.99D
Explanation of Responses:
(1)  The option vests one-third on 4/3/16, one-third on 4/3/17, and one-third on 12/4/17.
(2)  The options vest one-third on the first anniversary of the grant date, one-third on the second anniversary of the grant date, and one third on the third anniversary of the grant date.
/s/ F. Mark Reuter, as Attorney-in-Fact for Joseph Peters 4/20/17
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

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Filing Submission 0001140361-17-016231   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

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