-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ll9c3BXciVIW5JPDIMK3czK+hHL43to42iHQrOHydtn2q8uomh4zSDfHavYm7nK6 fQW4TTnMEu/Qct0X1Vb1AA== 0000950123-96-002138.txt : 19960510 0000950123-96-002138.hdr.sgml : 19960510 ACCESSION NUMBER: 0000950123-96-002138 CONFORMED SUBMISSION TYPE: SC 13D/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19960509 SROS: NONE SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13D/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-45773 FILM NUMBER: 96558696 BUSINESS ADDRESS: STREET 1: 702 SOUTH CHAPIN STREET 2: P O BOX 1277 CITY: SOUTH BEND STATE: IN ZIP: 46624 BUSINESS PHONE: 5165641100 MAIL ADDRESS: STREET 1: 275 HEMPSTEAD TURNPIKE CITY: WEST HEMPSTEAD STATE: NY ZIP: 11552 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: CWAI CONSULTANTS CORP CENTRAL INDEX KEY: 0001007929 STANDARD INDUSTRIAL CLASSIFICATION: [] STATE OF INCORPORATION: NY FILING VALUES: FORM TYPE: SC 13D/A BUSINESS ADDRESS: STREET 1: C/O GUSRAE KAPLAN & BRUNO STREET 2: 120 WALL STREET CITY: NEW YORK STATE: NY ZIP: 10005 BUSINESS PHONE: 2122691400 SC 13D/A 1 AMENDMENT NO. 4 TO SCHEDULE 13D 1 OMB APPROVAL OMB Number: 3235-0145 Expires: December 31, 1997 Estimated average burden hours per response....14.90 UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13D Under the Securities Exchange Act of 1934 (Amendment No. 4)* FORWARD INDUSTRIES, INC. (Name of Issuer) Common Stock, par value $.01 per share (Title of Class of Securities) 349862102 (CUSIP Number) Lawrence G. Nusbaum, Esq., Gusrae, Kaplan & Bruno, 120 Wall Street, New York, New York 10005 (212) 269-1400 (Name, Address and Telephone Number of Person Authorized to Receive Notices and Communications) May 4, 1996 (Date of Event which Requires Filing of this Statement) If the filing person has previously filed a statement on Schedule 13G to report the acquisition which is the subject of this Schedule 13D, and is filing this schedule because of Rule 13d-1(b)(3) or (4), check the following box. /___/ Check the following box if a fee is being paid with the statement / X /. (A fee is not required only if the reporting person: (1) has a previous statement on file reporting beneficial ownership of more than five percent of the class of securities described in Item 1; and (2) has filed no amendment subsequent thereto reporting beneficial ownership of five percent or less of such class.) (See Rule 13d-7.) NOTE: Six copies of this statement, including all exhibits, should be filed with the Commission. See Rule 13d-1(a) for other parties to whom copies are to be sent. *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page. The information required on the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). 2 SCHEDULE 13D CUSIP NO. ______________________ PAGE _______OF _______PAGES - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON CWAI Consultants Corp. ("CWAI") - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / / (b) /X/ See Footnote 1 to Item 5 of the Schedule 13D of CWAI dated February 15, 1996 (the "February Schedule 13D"), previously filed with the SEC. - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 SOURCE OF FUNDS* 00 - Sole Shareholder has for shares exercised, and will for any shares exercised in the future, contributed capital to fund exercise of a warrant held by CWAI. See Item 3 of the February Schedule 13D. - -------------------------------------------------------------------------------- 5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED PURSUANT TO ITEMS 2(d) or 2(e) / / - -------------------------------------------------------------------------------- 6 CITIZENSHIP OR PLACE OF ORGANIZATION New York - -------------------------------------------------------------------------------- 7 SOLE VOTING POWER NUMBER OF 312,500 SHARES -------------------------------------------------------------- BENEFICIALLY 8 SHARED VOTING POWER OWNED BY EACH 0 REPORTING -------------------------------------------------------------- PERSON 9 SOLE DISPOSITIVE POWER WITH 312,500 -------------------------------------------------------------- 10 SHARED DISPOSITIVE POWER 0 - -------------------------------------------------------------------------------- 11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 312,500 - -------------------------------------------------------------------------------- 12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES CERTAIN SHARES* /X/ See Footnote 1 to Item 5 of the February Schedule 13D. - -------------------------------------------------------------------------------- 13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11) Approximately 6.52% - -------------------------------------------------------------------------------- 14 TYPE OF REPORTING PERSON* CO - -------------------------------------------------------------------------------- *SEE INSTRUCTIONS BEFORE FILLING OUT! INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7 (INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION. 2 3 ITEM 1. SECURITY AND ISSUER This Amendment No. 4 to Schedule 13D amends the Schedule 13D dated February 15, 1996 (the "February Schedule 13D") of CWAI Consultants Corp. ("CWAI"), relating to the common stock, par value $.01 per share (the "Common Stock"), of FORWARD INDUSTRIES, INC., a New York corporation (the "Issuer"). The principal executive offices of the Issuer are located at 272 Hempstead Turnpike, West Hempstead, New York 11552. All capitalized terms not otherwise defined herein, have the meaning set forth in the February Schedule 13D. ITEM 5. INTEREST IN SECURITIES OF THE ISSUER Under the terms of the Warrant, as of May 4, 1996 CWAI became the beneficial owner of an additional 170,000 shares of Common Stock. Under the terms of the Warrant, however, CWAI may not sell any of such 170,000 shares until July 3, 1996 (which will be the 100th day following the effective date of the Registration Statement). As of May 4, 1996, CWAI beneficially owned 312,500 shares (approximately 6.52%) of the Common Stock of the Issuer. Sales by CWAI of such 312,500 shares to the public are covered by a registration statement which the Securities and Exchange Commission declared effective on March 25, 1996. See Item 5 of the February Schedule 13D for a description of securities of the Issuer that CWAI disclaims beneficial ownership of. ITEM 7. MATERIAL TO BE FILED AS EXHIBITS None. 3 4 SIGNATURES After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and accurate. May 6, 1996 CWAI CONSULTANTS CORP. By: /s/Mark Berman ---------------------- Name: Mark Berman Title: President 4 -----END PRIVACY-ENHANCED MESSAGE-----