0001683168-21-006328.txt : 20211214 0001683168-21-006328.hdr.sgml : 20211214 20211214160118 ACCESSION NUMBER: 0001683168-21-006328 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211213 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Severino Paul Jean CENTRAL INDEX KEY: 0001732362 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34780 FILM NUMBER: 211490978 MAIL ADDRESS: STREET 1: 700 VETERANS MEMORIAL HIGHWAY STREET 2: SUITE 100 CITY: HAUPPAUGE STATE: NY ZIP: 11788 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 2021-12-13 0 0000038264 Forward Industries, Inc. FORD 0001732362 Severino Paul Jean 700 VETERANS MEMORIAL HIGHWAY SUITE 100 HAUPPAUGE NY 11788 0 1 0 0 COO of Subsidiary Common Stock 2021-12-13 4 S 0 2000 1.99 D 57918 D /s/ Paul Severino 2021-12-14