FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). (Print or Type Responses) |
UNITED STATES SECURITIES AND EXCHANGE
COMMISSION STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of
the Securities Exchange Act of 1934, Section 17(a) of the Public |
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1. Name and Address of Reporting Person* |
2. Issuer Name and Ticker or Trading
Symbol |
6. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner Officer (give title below) Other (specify below) ___________________________________ |
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Kuhr, Jeffrey H. |
3. I.R.S. Identification Number of Reporting Person, if an entity (voluntary) |
4. Statement for Month/Day/Year |
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(Last) (First) (Middle) |
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1801 Green Road Suite E. |
5. If Amendment, Date of Original (Month/Day/Year) |
7. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting
Person |
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(Street) Pompano Beach, Fl 33064 |
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(City) (State) (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
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1. Title of
Security |
2. Transaction Date
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2A. Deemed
Execution Date, if any |
3. Transaction Code |
4. Securities Acquired (A) |
5. Amount of Securities Beneficially Owned
Following Reported Transactions(s) |
6. Ownership Form:
Direct (D) or Indirect (I) |
7. Nature of
Indirect Beneficial Ownership |
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Code |
V |
Amount |
(A) or (D) |
Price |
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0 |
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Table II - Derivative Securities
Acquired, Disposed of, or Beneficially Owned |
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1. Title of
Derivative Security |
2. Conversion or Exercise Price of Derivative Security |
3. Transaction Date
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3A. Deemed
Execution Date, if any |
4. Transaction Code |
5. Number of
Derivative Securities Acquired (A) or Disposed of (D) |
6. Date Exerciseable and Expiration Date |
7. Title and Amount
of Underlying Securities |
8. Price of
Derivative Security |
9. Number of
Derivative Securities Beneficially Owned Following Reported Transaction(s) |
10. Ownership Form
of Derivative Securities Beneficially Owned at End of Month |
11. Nature of
Indirect Beneficial Ownership |
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Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
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Common Stock Options |
$2.05 |
04/25/03 |
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A |
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04/25/03 |
04/24/13** |
Forward Industries Common Stock |
10,000 |
$2.05 |
10.000 |
D |
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Explanation of Responses: |
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//s//Jeffrey H. Kuhr |
April 25, 2003 |
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Reminder: |
Report on a separate line for each class of securities beneficially owned directly or indirectly. |
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* |
If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
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** |
Intentional misstatements or
omissions of facts constitute Federal Criminal Violations |
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Note: |
File three copies of this Form, on of which must be manually signed. If space is insufficient, see Instruction 6 for procedure |