SEC Form 4 · accession 0001003297-19-000010
Forward Industries, Inc. · FWDI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Sangita Shah
Director
Period of report
Feb 5, 2019
Accepted (ET)
Feb 7, 2019 · 4:16 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000038264
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Options (Right to Buy)F2,F1 | $1.54 | Feb 5, 2019 | A | 50,007 | A | — | Feb 5, 2024 | Common Stock | 50,007 | 50,007 | D |
| Stock Options (Right to Buy)F2,F3 | $1.54 | Feb 5, 2019 | A | 70,230 | A | — | Feb 5, 2024 | Common Stock | 70,230 | 70,230 | D |
Explanation of responses
- F1The stock options shall vest 12 months from the Transaction Date, subject to continued service as a director on the vesting date.
- F2Not applicable.
- F3The stock options are fully vested.