0001683168-21-001994.txt : 20210514 0001683168-21-001994.hdr.sgml : 20210514 20210514160113 ACCESSION NUMBER: 0001683168-21-001994 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210512 FILED AS OF DATE: 20210514 DATE AS OF CHANGE: 20210514 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maiman Mitchell CENTRAL INDEX KEY: 0001732109 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 21924383 MAIL ADDRESS: STREET 1: 700 VETERANS MEMORIAL HIGHWAY STREET 2: SUITE 100 CITY: HAUPPAUGE STATE: NY ZIP: 11788 FORMER NAME: FORMER CONFORMED NAME: Maiman Mitch DATE OF NAME CHANGE: 20180220 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: 700 VETERANS MEMORIAL HWY, SUITE 100 CITY: HAUPPAUGE STATE: NY ZIP: 11788 BUSINESS PHONE: 561-465-0030 MAIL ADDRESS: STREET 1: 700 VETERANS MEMORIAL HWY, SUITE 100 CITY: HAUPPAUGE STATE: NY ZIP: 11788 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 2021-05-12 0 0000038264 Forward Industries, Inc. FORD 0001732109 Maiman Mitchell 700 VETERANS MEMORIAL HIGHWAY SUITE 100 HAUPPAUGE NY 11788 0 1 0 0 President of Subsidiary Common Stock 2021-05-12 4 S 0 10000 2.34 D 95868 D The amount beneficially owned will not reconcile to prior Form 4s as a result of a 2020 Form 4 which included a transaction for the sale of 9 more shares of Common Stock that were not sold. /s/ Mitchell Maiman 2021-05-14