0001683168-22-002361.txt : 20220405
0001683168-22-002361.hdr.sgml : 20220405
20220405160132
ACCESSION NUMBER: 0001683168-22-002361
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220401
FILED AS OF DATE: 20220405
DATE AS OF CHANGE: 20220405
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: 22806687
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: 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
2022-04-01
0
0000038264
Forward Industries, Inc.
FORD
0001634019
Shah Sangita
C/O FORWARD INDUSTRIES, INC.
700 VETERANS MEMORIAL HWY, SUITE 100
HAUPPAUGE
NY
11788
1
0
0
0
Stock Options (Right to Buy)
1.72
2022-04-01
4
A
0
12674
A
2027-04-01
Common Stock
12674
12674
D
Stock Options (Right to Buy)
1.72
2022-04-01
4
A
0
11947
A
2027-04-01
Common Stock
11947
11947
D
Fully vested.
Not applicable.
The stock options vest one year from the Transaction Date, subject to continued service as a director on the vesting date.
/s/ Sangita Shah
2022-04-05