0001683168-21-001360.txt : 20210413 0001683168-21-001360.hdr.sgml : 20210413 20210413160209 ACCESSION NUMBER: 0001683168-21-001360 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210412 FILED AS OF DATE: 20210413 DATE AS OF CHANGE: 20210413 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Maiman Mitchell CENTRAL INDEX KEY: 0001732109 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 21823093 MAIL ADDRESS: STREET 1: 700 VETERANS MEMORIAL HIGHWAY STREET 2: SUITE 100 CITY: HAUPPAUGE STATE: NY ZIP: 11788 FORMER NAME: FORMER CONFORMED NAME: Maiman Mitch DATE OF NAME CHANGE: 20180220 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 2021-04-12 0 0000038264 Forward Industries, Inc. FORD 0001732109 Maiman Mitchell 700 VETERANS MEMORIAL HIGHWAY SUITE 100 HAUPPAUGE NY 11788 0 1 0 0 President of Subsidiary Common Stock 2021-04-12 4 S 0 10000 2.9158 D 105859 D The price reported in Column 4 is a weighted average price. These securities were sold in multiple transactions ranging from $2.91 to $2.93, inclusive. The reporting person undertakes to provide to Forward Industries, Inc., any security holder of Forward Industries, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares bought at each separate price within the ranges set forth in the preceding sentence. The securities were sold under a 10b5-1 plan. /s/ Mitchell Maiman 2021-04-13