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Ownership Document |
Schema Version: X0206 |
Document Type: 3 |
Period of Report: 3/12/24 |
No Securities Owned: 0 |
Issuer: |
| Issuer CIK: 1901305 |
| Issuer Name: Forza X1, Inc. |
| Issuer Trading Symbol: FRZA |
Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1873802 |
| | Owner Name: Norton Daniel |
| Reporting Owner Address: |
| | Owner Street 1: C/O FORZA X1, INC. |
| | Owner Street 2: 3101 S. US HWY 1 |
| | Owner City: FORT PIERCE |
| | Owner State: FL |
| | Owner ZIP Code: 34982 |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? No |
| | Is Officer? Yes |
| | Is Ten Percent Owner? No |
| | Is Other? No |
| | Officer Title: PRESIDENT |
| | Other Text: |
Derivative Table: |
| Derivative Holding: |
| | Security Title: |
| | | Value: Stock Option (Right to Buy) |
| | Conversion or Exercise Price: |
| | | Value: 1.33 |
| | Exercise Date: |
| | | Value: 1/15/23 |
| | Expiration Date: |
| | | Value: 12/15/32 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 100,000 |
| Footnote ID: F1 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Derivative Holding: |
| | Security Title: |
| | | Value: Stock Option (Right to Buy) |
| | Conversion or Exercise Price: |
| | | Value: 0.70 |
| | Exercise Date: |
| | | Value: 11/4/23 |
| | Expiration Date: |
| | | Value: 10/4/33 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 50,000 |
| Footnote ID: F1 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
Footnotes: |
| Footnote - F1: These options vest pro rata on a monthly basis over three years commencing on the one-month anniversary of date of grant |
Remarks: Exhibit List - Exhibit 24- Power of Attorney (Daniel Norton) |
Owner Signature: |
| Signature Name: /s/ Glenn Sonoda, Attorney-in-fact |
| Signature Date: 3/13/24 |