0001683168-21-005350.txt : 20211109 0001683168-21-005350.hdr.sgml : 20211109 20211109160126 ACCESSION NUMBER: 0001683168-21-005350 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211108 FILED AS OF DATE: 20211109 DATE AS OF CHANGE: 20211109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Severino Paul Jean CENTRAL INDEX KEY: 0001732362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 211391933 MAIL ADDRESS: STREET 1: 700 VETERANS MEMORIAL HIGHWAY STREET 2: SUITE 100 CITY: HAUPPAUGE STATE: NY ZIP: 11788 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 2021-11-08 0 0000038264 Forward Industries, Inc. FORD 0001732362 Severino Paul Jean 700 VETERANS MEMORIAL HIGHWAY SUITE 100 HAUPPAUGE NY 11788 0 1 0 0 COO of Subsidiary Common Stock 2021-11-08 4 S 0 2000 2.22 D 59918 D The price reported in Column 4 is a weighted average price. These securities were sold in multiple transactions ranging from $2.22 to $2.23, inclusive. The reporting person undertakes to provide to Forward Industries, Inc., any security holder of Forward Industries, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in the preceding sentence. The securities were sold under a 10b5-1 plan. /s/ Paul Severino 2021-11-09