-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RRDA+t97EETU8kUVW1op+KiYNHi2PicsTWt/DDEmAiG3GnVRlnXAWSnyc++lRbiB gIaNbPy7Aa+O90vFoBYQvw== 0001417014-10-000015.txt : 20100903 0001417014-10-000015.hdr.sgml : 20100903 20100903151318 ACCESSION NUMBER: 0001417014-10-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20100901 FILED AS OF DATE: 20100903 DATE AS OF CHANGE: 20100903 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Johnson Frank L CENTRAL INDEX KEY: 0001315394 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 101057539 MAIL ADDRESS: STREET 1: 570 LEXINGTON AVENUE, 27TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 FORMER NAME: FORMER CONFORMED NAME: Johnson Frank DATE OF NAME CHANGE: 20050125 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 primary_doc.xml PRIMARY DOCUMENT X0303 4 2010-09-01 0 0000038264 FORWARD INDUSTRIES INC FORD 0001315394 Johnson Frank L 1801 GREEN ROAD SUITE E POMPANO BEACH FL 33064 1 0 1 0 Forward Industries Common Stock Option 3.79 2010-09-01 4 A 0 10000 0 A 2011-08-31 2020-08-31 Forward Industries Common Stock 10000 10000 D Frank L. Johnson is a member of a Section 13(d) group that beneficially owns in excess of 10% of the Issuer's outstanding Shares. Mr. Johnson jointly files Forms 4 with LaGrange Capital Partners, L.P., LaGrange Capital Partners Offshore Fund, Ltd., LaGrange Special Situations Yield Master Fund, Ltd., LaGrange Capital Management, L.L.C. and LaGrange Capital Administration, L.L.C with respect to the Shares of the Issuer. As a member of the Section 13(d) group and in light of his relationships with the other Reporting Persons, Mr. Johnson may be deemed to beneficially own the 2,111,389 shares of the Issuer beneficially owned in the aggregate by the other members of the group. Mr. Johnson disclaims beneficial ownership of all such securities of the Issuer except to the extent of his or its pecuniary interest therein. James McKenna, by Power of Attorney 2010-09-03 -----END PRIVACY-ENHANCED MESSAGE-----