Close

Form 3 Forward Industries, Inc. For: Nov 29 Filed by: Wild Robert W Jr.

December 6, 2022 4:02 PM EST
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Expires: December 31, 2014
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person *
Wild Robert W Jr.

(Last) (First) (Middle)
C/O FORWARD INDUSTRIES, INC.
700 VETERANS MEMORIAL HWY. SUITE 100

(Street)
HAUPPAUGE NY 11788

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/29/2022
3. Issuer Name and Ticker or Trading Symbol
Forward Industries, Inc. [ FORD ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
COO of Subsidiary
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
No securities are beneficially owned 0
D
 
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Options (Right to Buy) (1)   (2) 01/01/2027 Common Stock 4,572 1.56 D  
Stock Options (Right to Buy) (1)   (3) 01/01/2027 Common Stock 4,363 1.56 D  
Stock Options (Right to Buy) (1)   (4) 01/01/2027 Common Stock 4,682 1.56 D  
Stock Options (Right to Buy) (1)   (4) 07/01/2027 Common Stock 4,817 1.47 D  
Stock Options (Right to Buy) (1)   (5) 07/01/2027 Common Stock 4,535 1.47 D  
Stock Options (Right to Buy) (1)   (6) 07/01/2027 Common Stock 4,433 1.47 D  
Explanation of Responses:
1. The stock options were issued under the Issuer's 2021 Equity Incentive Plan.
2. The stock options vest on January 1, 2023, subject to continued employment with the Issuer on the vesting date.
3. The stock options vest on January 1, 2024, subject to continued employment with the Issuer on the vesting date.
4. Fully vested.
5. The stock options vest on July 1, 2023, subject to continued employment with the Issuer on the vesting date.
6. The stock options vest on July 1, 2024, subject to continued employment with the Issuer on the vesting date.
/s/ Robert W. Wild Jr. 12/06/2022
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.


Serious News for Serious Traders! Try StreetInsider.com Premium Free!

You May Also Be Interested In





Related Categories

SEC Filings