UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
Forward Industries, Inc.
(Name of Issuer)
Common Stock
(Title of Class of Securities)
349862300
(CUSIP Number)
February 11, 2021
(Date of Event which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
| ¨ | Rule 13d-1(b) |
| ¨ | Rule 13d-1(c) |
| þ | Rule 13d-1(d) |
*The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.
The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
| CUSIP No. 349862300 | 13G | Page 2 of 4 Pages |
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1
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NAME OF REPORTING PERSONS I.R.S. IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Sangita Shah | |||
| 2 | CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP | |||
| (a) ¨ | ||||
| (b) ¨ | ||||
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF ORGANIZATION
UK
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NUMBER OF SHARES BENEFICIALLY OWNED BY EACH REPORTING PERSON WITH
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5 |
SOLE VOTING POWER
445,418 (1)
| ||
| 6 |
SHARED VOTING POWER
105,000 (2)
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| 7 |
SOLE DISPOSITIVE POWER
445,418 (1)
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| 8 |
SHARED DISPOSITIVE POWER
105,000 (2)
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
550,418
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| 10 | CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES | |||
| ¨ | ||||
|
11
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PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
5.3% (3)
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12
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TYPE OF REPORTING PERSON
In – Individual
| |||
| (1) | Represents vested stock options. |
| (2) | Represent shares of common stock owned by an entity of which the reporting person shares control with her husband. |
| (3) | Based on 9,886,351 shares outstanding as of February 11, 2020. |
| CUSIP No. 349862300 | 13G | Page 3 of 4 Pages |
| ITEM 1. |
| (a) | Name of Issuer: Forward Industries, Inc. | |
| (b) | Address of Issuer’s Principal Executive Offices: 700 Veterans Memorial Highway, Suite 100, Hauppauge, NY 11788. |
| ITEM 2. |
| (a) | Name of Person Filing: Sangita Shah | |
| (b) | Address of Principal Business Office or, if none, Residence: 24 Courtfield Gardens, Ealing London, W13 0EZ | |
| (c) | Citizenship: United Kingdom | |
| (d) | Title of Class of Securities: Common Stock | |
| (e) | CUSIP Number: 349862300 |
| ITEM 3. | IF THIS STATEMENT IS FILED PURSUANT TO §§240.13D-1(B) OR 240.13D-2(B) OR (C), CHECK WHETHER THE PERSON FILING IS A: |
Not Applicable.
| ITEM 4. | OWNERSHIP. |
See Item 5 through 9 and 11 of cover page.
| ITEM 5. | OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. |
Not Applicable.
| ITEM 6. | OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON. |
Not Applicable.
| ITEM 7. | IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY. |
Not Applicable.
| ITEM 8. | IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP. |
Not Applicable.
| ITEM 9. | NOTICE OF DISSOLUTION OF GROUP. |
Not Applicable.
| ITEM 10. | CERTIFICATION |
By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect, other than activities solely in connection with a nomination under § 240.14a-11.
| CUSIP No. 349862300 | 13G | Page 4 of 4 Pages |
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
| February 12, 2021 | By: | /s/ Sangita Shah |
| Sangita Shah |