0001003297-19-000010.txt : 20190207 0001003297-19-000010.hdr.sgml : 20190207 20190207161612 ACCESSION NUMBER: 0001003297-19-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190205 FILED AS OF DATE: 20190207 DATE AS OF CHANGE: 20190207 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: 19575363 MAIL ADDRESS: STREET 1: C/O FORWARD INDUSTRIES, INC. STREET 2: 477 ROSEMARY AVE., STE. 219 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 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: 477 ROSEMARY AVE. STREET 2: SUITE 219 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 BUSINESS PHONE: 561-465-0071 MAIL ADDRESS: STREET 1: 477 ROSEMARY AVE. STREET 2: SUITE 219 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 FORMER COMPANY: FORMER CONFORMED NAME: FORWARD INDUSTRIES INC DATE OF NAME CHANGE: 19950105 FORMER COMPANY: FORMER CONFORMED NAME: PROGRESS HEAT SEALING CO INC DATE OF NAME CHANGE: 19721111 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-02-05 0 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 Stock Options (Right to Buy) 1.54 2019-02-05 4 A 0 50007 A 2024-02-05 Common Stock 50007 50007 D Stock Options (Right to Buy) 1.54 2019-02-05 4 A 0 70230 A 2024-02-05 Common Stock 70230 70230 D The stock options shall vest 12 months from the Transaction Date, subject to continued service as a director on the vesting date. Not applicable. The stock options are fully vested. /s/ Sangita Shah 2019-02-07