0001003297-18-000027.txt : 20180214 0001003297-18-000027.hdr.sgml : 20180214 20180214175839 ACCESSION NUMBER: 0001003297-18-000027 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20180214 DATE AS OF CHANGE: 20180214 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 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-45773 FILM NUMBER: 18614469 BUSINESS ADDRESS: STREET 1: 477 ROSEMARY AVE. STREET 2: SUITE 219 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 BUSINESS PHONE: 561-465-0071 MAIL ADDRESS: STREET 1: 477 ROSEMARY AVE. STREET 2: SUITE 219 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: Frost James M CENTRAL INDEX KEY: 0001725666 FILING VALUES: FORM TYPE: SC 13G MAIL ADDRESS: STREET 1: 477 S. ROSEMARY AVE., SUITE 219 CITY: WEST PALM BEACH STATE: FL ZIP: 33401 SC 13G 1 g-jamesfrost.htm Prepared by EDGARX.com

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

SCHEDULE 13G

 

Under the Securities Exchange Act of 1934

 

Forward Industries, Inc.

(Name of Issuer)

 

Common Stock

(Title of Class of Securities)

 

349862300

(CUSIP Number)

 

 

December 27, 2017

(Date of Event which Requires Filing of this Statement)

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

 

¨

Rule 13d-1(b)

 

 

¨

Rule 13d-1(c)

 

 

þ

Rule 13d-1(d)

 

*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 the disclosures provided in a prior cover page.

 

The information required in 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).

 

 


 

CUSIP No. 349862300                                             13G                                             Page 2 of 4 Pages

 

 

1

 

 

 

NAME OF REPORTING PERSONS

I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)

 

James M. Frost

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP

 

(a) ¨

 

(b) ¨

 

 

3

 

 

SEC USE ONLY

 

 

4

 

 

CITIZENSHIP OR PLACE OF ORGANIZATION

 

 

                              

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH

 

 

 

5

SOLE VOTING POWER

 

450,973

 

6

SHARED VOTING POWER

 

 

 

7

SOLE DISPOSITIVE POWER

 

450,973 

 

8

SHARED DISPOSITIVE POWER

 

 

9

 

 

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

450,973 

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES

 

¨

 

 

11

 

 

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

5.1% (1)

 

12

 

 

TYPE OF REPORTING PERSON

 

In - Individual

 

         

 

 

(1) Based on 8,920,830 shares outstanding as of December 11, 2017.

 

 

 

 

 

 

 

 


 

CUSIP No. 349862300                                             13G                                             Page 3 of 4 Pages

 

 

ITEM 1.               

 

(a)           Name of Issuer: Forward Industries, Inc.

 

(b)           Address of Issuer’s Principal Executive Offices: 477 Rosemary Avenue, Suite 219, West Palm Beach, Florida 33401.

 

ITEM 2.

 

(a)           Name of Person Filing: James M. Frost

 

(b)           Address of Principal Business Office or, if none, Residence

 

                7551 W. Sunset Blvd., Suite 203

                Los Angeles, CA 90046

 

 (c)          Citizenship: U.S. citizen

 

(d)           Title of Class of Securities: Common Stock

 

(e)           CUSIP Number: 349862300

 

ITEM 3.                IF THIS STATEMENT IS FILED PURSUANT TO §§240.13D-1(B) OR 240.13D-2(B) OR (C), CHECK WHETHER THE PERSON FILING IS A:

 

Not Applicable.

 

ITEM 4.                OWNERSHIP.

 

See Item 5 through 9 and 11 of cover page.

 

ITEM 5.                OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS.

 

Not Applicable.

 

ITEM 6.                OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON.

 

Not Applicable.

 

ITEM 7.                IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY.

 

Not Applicable.

 

ITEM 8.                IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP.

 

Not Applicable.

 

ITEM 9.                NOTICE OF DISSOLUTION OF GROUP.

 

Not Applicable.

 

 


 

CUSIP No. 349862300                                             13G                                             Page 4 of 4 Pages

 

ITEM 10.              CERTIFICATION

 

By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under 240.14a-11.

 

SIGNATURE

 

                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 correct.

 

 

February 14, 2018

By: /s/ James M. Frost                            

 

            James M. Frost