SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C.
FORM 10-C
REPORT BY ISSUER OF SECURITIES QUOTED ON NASDAQ
INTERDEALER QUOTATION SYSTEM
FILED PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934 AND RULE 13A-17
OR 15d-17 THEREUNDER
FORWARD INDUSTRIES, INC.
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(Exact name of issuer as specified in charter)
275 Hempstead Turnpike, West Hempstead, NY 11552
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(Address of principal executive offices)
Issuer's telephone number, including area code (516) 564-1100
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I. CHANGE IN NUMBER OF SHARES OUTSTANDING
Indicate any change (increase or decrease) of five percent or more in the number
of shares outstanding:
1. Title of security Common Stock, par value $.01
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2. Number of shares outstanding before the change 4,891,282
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3. Number of shares outstanding after the change 5,208,282
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4. Effective date of change June 10, 1996
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5. Method of change: Specify method (such as merger, acquisition, exchange,
distribution, stock split, reverse split, acquisition
of stock for treasury, etc.)
Warrant exercises
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Give brief description of transaction Exercise of Class A Warrants (117,000
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shares) and Class B Warrants (200,000 shares) to purchase shares of Common Stock
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II. CHANGE IN NAME OF ISSUER
1. Name prior to change
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2. Name after change
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3. Effective date of charter amendment changing name
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4. Date of shareholder approval of change, if required
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Date June 18, 1996 Theodore H. Schiffman
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Theodore H. Schiffman
Chairman and Chief Executive Officer
