0000905716-13-000002.txt : 20130102
0000905716-13-000002.hdr.sgml : 20130101
20130102143011
ACCESSION NUMBER: 0000905716-13-000002
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121230
FILED AS OF DATE: 20130102
DATE AS OF CHANGE: 20130102
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: 13501365
MAIL ADDRESS:
STREET 1: 25101 CHAGRIN BOULEVARD SUITE 350
CITY: BEACHWOOD
STATE: OH
ZIP: 44122
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
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2012-12-30
0
0000047307
HICKOK INC
HICKA
0001545202
Rosen Steven
25101 CHAGRIN BOULEVARD SUITE 350
BEACHWOOD
OH
44122
1
0
1
0
Warrant to Purchase Class A Common Stock
2.5
2012-12-30
4
P
0
100000
A
2012-12-30
2015-12-30
Class A Common Stock
100000
100000
I
Beneficial control of Roundball, LLC.
1. In partial consideration for Amendment No. 1 to the Convertible Loan Agreement between the parties thereto, Hickok Incorporated (the "Company") and Roundball LLC ("Roundball") entered into a Warrant Agreement, dated December 30, 2012 (the "Roundball Warrant Agreement"), whereby the Company issued a warrant to Roundball to purchase, at its option, up to 100,000 shares of Class A Common Stock of the Company at an exercise price of $2.50 per share, subject to anti-dilution and other adjustments.
/s/ Steven H. Rosen
2013-01-02