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