-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, SD1gRmM0IQ2/j0Y8a/Rq0roaR7gwYNSCGe4rxbNrz8GhaFAy/oTjwYPvN6UJIfEG bEXs2zZY7TjB4jUjp/J3+g== 0001209191-03-030546.txt : 20031114 0001209191-03-030546.hdr.sgml : 20031114 20031114170430 ACCESSION NUMBER: 0001209191-03-030546 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030930 FILED AS OF DATE: 20031114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ZOLOTY GREGORY M CENTRAL INDEX KEY: 0001243282 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00147 FILM NUMBER: 031005742 MAIL ADDRESS: STREET 1: C/O HICKOK INC STREET 2: 10514 DUPONT AVE CITY: CLEVELAND STATE: OH ZIP: 44108 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 5 1 doc5.xml FORM 5 SUBMISSION X0201 52003-09-300 0 0 0000047307 HICKOK INC HICKA 0001243282 ZOLOTY GREGORY M 10514 DUPONT AVENUE CLEVELAND OH 44108 0100Chief Financial OfficerStock Option (Right to Buy)Class A Common Stock18500.000018500.0000 DOwnership of these securities was reported on a previous Form 4 or Form 5.The reporting person still holds previously reported options to buy 18,500 shares of Class A Common Stock granted pursuant to the Hickok Incorporated Employee Stock Option Plan and the Hickok Incorporated 2000 Key Employees Stock Option Plan. These plans comply with Rule 16b-3. These options were granted between October 1, 2004 and March 1, 2002, at exercise prices ranging from $3.13 to $17.25, will expire ten (10) years from the date of grant and are immediately exercisable. /s/ Gregory M. Zoloty2003-11-12 -----END PRIVACY-ENHANCED MESSAGE-----