0001683168-22-001156.txt : 20220218 0001683168-22-001156.hdr.sgml : 20220218 20220218160118 ACCESSION NUMBER: 0001683168-22-001156 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220216 FILED AS OF DATE: 20220218 DATE AS OF CHANGE: 20220218 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Hrynkow Sharon Hemond CENTRAL INDEX KEY: 0001745677 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 22652594 MAIL ADDRESS: STREET 1: 4816 KING SOLOMON DRIVE CITY: ANNADALE STATE: VA ZIP: 22003 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 2022-02-16 0 0000038264 Forward Industries, Inc. FORD 0001745677 Hrynkow Sharon Hemond 4816 KING SOLOMON DRIVE ANNADALE VA 22003 1 0 0 0 Stock Options (Right to Buy) 1.68 2022-02-16 4 A 0 31095 A 2027-02-16 Common Stock 31095 31095 D The stock options vest one year from the Transaction Date, subject to continued service as a director on the vesting date. Not applicable. /s/ Sharon Hrynkow 2022-02-18