0001683168-21-004277.txt : 20210914
0001683168-21-004277.hdr.sgml : 20210914
20210914160113
ACCESSION NUMBER: 0001683168-21-004277
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210913
FILED AS OF DATE: 20210914
DATE AS OF CHANGE: 20210914
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: 211252413
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
2021-09-13
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
2021-09-13
4
S
0
6000
2.3665
D
63868
D
The price reported in Column 4 is a weighted average price. These securities were sold in multiple transactions ranging from $2.36 to $2.38, 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 sold 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
2021-09-14