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