0001003297-17-000185.txt : 20170613 0001003297-17-000185.hdr.sgml : 20170613 20170613160310 ACCESSION NUMBER: 0001003297-17-000185 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170610 FILED AS OF DATE: 20170613 DATE AS OF CHANGE: 20170613 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shah Sangita CENTRAL INDEX KEY: 0001634019 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 17908863 MAIL ADDRESS: STREET 1: C/O FORWARD INDUSTRIES, INC. STREET 2: 477 ROSEMARY AVE., STE. 219 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 4 1 shah.xml PRIMARY DOCUMENT X0306 4 2017-06-10 0000038264 FORWARD INDUSTRIES INC FORD 0001634019 Shah Sangita C/O FORWARD INDUSTRIES, INC. 477 ROSEMARY AVE. STE. 219 WEST PALM BEACH FL 33401 1 0 0 0 Common Stock 2017-06-10 4 A 0 35000 A 105000 D Not applicable. /s/ Sangita Shah 2017-06-12