| | | | | | | | | | | | | | | | | | | | | |
Ownership Document |
Schema Version: X0206 |
Document Type: 3/A |
Period of Report: 4/20/17 |
Date of Original Submission: 4/11/17 |
No Securities Owned: 0 |
Issuer: |
| Issuer CIK: 754813 |
| Issuer Name: HealthWarehouse.com, Inc. |
| Issuer Trading Symbol: HEWA |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1703845 |
| | Owner Name: Peters Joseph B |
| Reporting Owner Address: |
| | Owner Street 1: 7107 INDUSTRIAL ROAD |
| | Owner Street 2: |
| | Owner City: FLORENCE |
| | Owner State: KY |
| | Owner ZIP Code: 41042 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: Interim President and CEO |
| | Other Text: |
Non-Derivative Table: |
| Non-Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 0 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Derivative Table: |
| Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Conversion or Exercise Price: |
| | | Value: .09 |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Value: 4/3/25 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Shares |
| | | Underlying Security Shares: |
| Value: 100,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Conversion or Exercise Price: |
| | | Value: .11 |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 8/5/25 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Shares |
| | | Underlying Security Shares: |
| Value: 100,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Conversion or Exercise Price: |
| | | Value: .35 |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 11/9/26 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Shares |
| | | Underlying Security Shares: |
| Value: 1,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Conversion or Exercise Price: |
| | | Value: .53 |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 12/23/23 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Shares |
| | | Underlying Security Shares: |
| Value: 40,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Conversion or Exercise Price: |
| | | Value: 1.60 |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 2/15/23 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Shares |
| | | Underlying Security Shares: |
| Value: 7,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Conversion or Exercise Price: |
| | | Value: 4.95 |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 10/15/22 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Shares |
| | | Underlying Security Shares: |
| Value: 3,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Common Shares |
| | Conversion or Exercise Price: |
| | | Value: 6.99 |
| | Exercise Date: |
| | | Footnote ID: F2 |
| | Expiration Date: |
| | | Value: 3/30/22 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Shares |
| | | Underlying Security Shares: |
| Value: 15,000 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Footnotes: |
| Footnote - F1: The option vests one-third on 4/3/16, one-third on 4/3/17, and one-third on 12/4/17. |
| Footnote - F2: 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. |
Owner Signature: |
| Signature Name: /s/ F. Mark Reuter, as Attorney-in-Fact for Joseph Peters |
| Signature Date: 4/20/17 |