0000899243-17-000779.txt : 20170109
0000899243-17-000779.hdr.sgml : 20170109
20170109153143
ACCESSION NUMBER: 0000899243-17-000779
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170106
FILED AS OF DATE: 20170109
DATE AS OF CHANGE: 20170109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HICKOK INC
CENTRAL INDEX KEY: 0000047307
STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823]
IRS NUMBER: 340288470
STATE OF INCORPORATION: OH
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 10514 DUPONT AVE
CITY: CLEVELAND
STATE: OH
ZIP: 44108
BUSINESS PHONE: 2165418060
MAIL ADDRESS:
STREET 1: 10514 DUPONT AVE
CITY: CLEVELAND
STATE: OH
ZIP: 44108
FORMER COMPANY:
FORMER CONFORMED NAME: HICKOK ELECTRICAL INSTRUMENT CO
DATE OF NAME CHANGE: 19920703
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rosen Steven
CENTRAL INDEX KEY: 0001545202
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-00147
FILM NUMBER: 17517358
MAIL ADDRESS:
STREET 1: 25101 CHAGRIN BOULEVARD SUITE 350
CITY: BEACHWOOD
STATE: OH
ZIP: 44122
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-01-06
0
0000047307
HICKOK INC
HICKA
0001545202
Rosen Steven
25101 CHAGRIN BOULEVARD, SUITE 350
BEACHWOOD
OH
44122
1
0
1
0
Class A Common Stock
2017-01-06
4
A
0
3000
0.00
A
3000
D
Class A Common Stock
320918
I
See Footnote
The securities reported herein are owned directly by Roundball LLC. The reporting person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
/s/ Fred Widen, Attorney-in-fact
2017-01-09