0001683168-20-000485.txt : 20200213 0001683168-20-000485.hdr.sgml : 20200213 20200213182918 ACCESSION NUMBER: 0001683168-20-000485 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200211 FILED AS OF DATE: 20200213 DATE AS OF CHANGE: 20200213 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: 20612714 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 ownership.xml X0306 4 2020-02-11 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) 1.13 2020-02-11 4 A 0 68419 A 2025-02-11 Common Stock 68419 68419 D Stock Options (Right to Buy) 1.13 2020-02-11 4 A 0 42762 A 2025-02-11 Common Stock 42762 42762 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 shall vest 12 months from the Transaction Date, subject to continued service as the lead director on the vesting date. /s/ Sangita Shah 2020-02-13