0000921895-12-002056.txt : 20121018 0000921895-12-002056.hdr.sgml : 20121018 20121018150330 ACCESSION NUMBER: 0000921895-12-002056 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121016 FILED AS OF DATE: 20121018 DATE AS OF CHANGE: 20121018 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gordon Timothy Clay CENTRAL INDEX KEY: 0001548077 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 121150307 MAIL ADDRESS: STREET 1: 441 LEXINGTON AVENUE, 10TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORWARD INDUSTRIES INC CENTRAL INDEX KEY: 0000038264 STANDARD INDUSTRIAL CLASSIFICATION: PLASTICS PRODUCTS, NEC [3089] IRS NUMBER: 131950672 STATE OF INCORPORATION: NY FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 1801 GREEN ROAD STREET 2: SUITE E CITY: POMPANO BEACH STATE: FL ZIP: 33064 BUSINESS PHONE: 9544199544 MAIL ADDRESS: STREET 1: 1801 GREEN RD STREET 2: SUITE E CITY: POMPANO BEACH STATE: FL ZIP: 33064 FORMER COMPANY: FORMER CONFORMED NAME: PROGRESS HEAT SEALING CO INC DATE OF NAME CHANGE: 19721111 4 1 form4b08126007_10182012.xml OWNERSHIP DOCUMENT X0306 4 2012-10-16 0 0000038264 FORWARD INDUSTRIES INC FORD 0001548077 Gordon Timothy Clay 441 LEXINGTON AVENUE, 10TH FLOOR NEW YORK NY 10017 1 0 0 0 Stock Option (Right to Buy) 1.23 2012-10-16 4 A 0 10000 0 A 2013-10-16 2022-10-15 Common Stock, $0.01 par value 10000 10000 D The exercise price is equal to the closing price of the stock on the date of grant. James Mckenna by Power of Attorney 2012-10-18