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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13D
Under the Securities Exchange Act of 1934
(Amendment No. 1)*
FORWARD INDUSTRIES, INC.
(Name of Issuer)
Common Stock, par value $.01 per share
(Title of Class of Securities)
349862102
(CUSIP Number)
Michael I. Klein, 250 Glendale Road, Scarsdale, New York 10583
(914) 722-0624
(Name, Address and Telephone Number of Person Authorized to Receive Notices and
Communications)
May 3, 1996
(Date of Event which Requires Filing of this Statement)
If the filing person has previously filed a statement on Schedule 13G to report
the acquisition which is the subject of this Schedule 13D, and is filing this
schedule because of Rule 13d-1(b)(3) or (4), check the following box. /___/
Check the following box if a fee is being paid with the statement / /. (A fee is
not required only if the reporting person: (1) has a previous statement on file
reporting beneficial ownership of more than five percent of the class of
securities described in Item 1; and (2) has filed no amendment subsequent
thereto reporting beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)
NOTE: Six copies of this statement, including all exhibits, should be filed with
the Commission. See Rule 13d-1(a) for other parties to whom copies are to be
sent.
*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
disclosures provided in a prior cover page.
The information required on 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).
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SCHEDULE 13D
CUSIP NO. ______________________ PAGE _______OF _______PAGES
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1 NAME OF REPORTING PERSON
S.S. OR I.R.S. IDENTIFICATION NO. OF ABOVE PERSON
Michael I. Klein("Klein")
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2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) / /
(b) /X/
See Footnote 1 to Item 5 on page 4 of the Schedule 13D of
Mr. Klein dated March 22, 1996 (the "March Schedule 13D"),
previously filed with the SEC.
- --------------------------------------------------------------------------------
3 SEC USE ONLY
- --------------------------------------------------------------------------------
4 SOURCE OF FUNDS*
PF - Personal Funds
(see Item 3)
- --------------------------------------------------------------------------------
5 CHECK BOX IF DISCLOSURE OF LEGAL PROCEEDINGS IS REQUIRED
PURSUANT TO ITEMS 2(d) or 2(e) / /
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6 CITIZENSHIP OR PLACE OF ORGANIZATION
USA
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7 SOLE VOTING POWER
NUMBER OF 200,000
SHARES --------------------------------------------------------------
BENEFICIALLY 8 SHARED VOTING POWER
OWNED BY
EACH 0
REPORTING --------------------------------------------------------------
PERSON 9 SOLE DISPOSITIVE POWER
WITH
200,000
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10 SHARED DISPOSITIVE POWER
0
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11 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
200,000
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12 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (11) EXCLUDES
CERTAIN SHARES* /X/
See Footnote 1 to Item 5 of the March Schedule 13D.
- --------------------------------------------------------------------------------
13 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (11)
Approximately 4.01%
- --------------------------------------------------------------------------------
14 TYPE OF REPORTING PERSON*
IN
- --------------------------------------------------------------------------------
*SEE INSTRUCTIONS BEFORE FILLING OUT!
INCLUDE BOTH SIDES OF THE COVER PAGE, RESPONSES TO ITEMS 1-7
(INCLUDING EXHIBITS) OF THE SCHEDULE, AND THE SIGNATURE ATTESTATION.
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ITEM 1. SECURITY AND ISSUER
This Amendment No. 1 to Schedule 13D ("Amendment No. 1"), amends the
Schedule 13D dated March 22, 1996 (the "March Schedule 13D") of Michael I.
Klein, relating to the common stock, par value $.01 per share (the "Common
Stock"), of FORWARD INDUSTRIES, INC., a New York corporation (the "Issuer"). The
principal executive offices of the Issuer are located at 272 Hempstead Turnpike,
West Hempstead, New York 11552.
ITEM 5. INTEREST IN SECURITIES OF THE ISSUER
As of the date hereof, Mr. Klein is the beneficial owner of 200,000 shares
of Common Stock of the Issuer. As set forth in the March Schedule 13D all such
200,000 shares are issuable upon exercise of a warrant granted by the Issuer to
Mr. Klein at an exercise price of $1.00 per share. The sale by Mr. Klein to the
public of such 200,000 shares has been registered in a registration statement of
the Issuer which the SEC declared effective on March 25, 1996. As a result of an
increase in the number of issued and outstanding shares of Common Stock of the
Issuer since the March Schedule 13D, the percentage ownership of the shares of
Common Stock of the Issuer beneficially owned by Mr. Klein decreased to, as of
the date hereof, approximately 4.01%.
See the footnote to Item 5 of the March Schedule 13D regarding securities
of the Issuer Mr. Klein disclaims beneficial ownership of.
ITEM 7. MATERIAL TO BE FILED AS EXHIBITS
None.
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SIGNATURES
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
accurate.
May 3, 1996
By: /s/Michael Klein
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Michael Klein
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