-----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, IB/twmYNBWdjuQwte//kysGcDV2mPANYGkjNgVmg0+l3lxNVMgsZAvNGs/7VFcqv YZnJN+SIWGhfW/euXgRQ2Q== 0001209191-03-030562.txt : 20031114 0001209191-03-030562.hdr.sgml : 20031114 20031114171808 ACCESSION NUMBER: 0001209191-03-030562 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: SLADE JANET H CENTRAL INDEX KEY: 0001243286 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00147 FILM NUMBER: 031005968 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 52003-09-300000000047307HICKOK INC HICKA0001243286SLADE JANET H10514 DUPONT AVENUECLEVELANDOH441081000Class A Common Stock, $1.00 par value1843.0000DClass B Common Stock, $1.00 par value107762.0000DStock Option (Right to Buy)Class A Common Stock10000.000010000.0000DOwnership of these securities was reported on a previous Form 4 or Form 5.The reportin g person still hold previously reported options to buy 10,000 shares of Class A Common Stock granted pursuant to the Hickok Incorporated 1995 Outside Directors Stock Option Plan, the Hickok Incorporated 1997 Outside Directors Stock Option Plan and the Hickok Incorporated 2000 Outside Directors Stock Option Plan. All of these plans comply with Rule 16b-3. These options were granted between February 23, 1995 and February 21, 2003 at exercise prices ranging from $3.55 to $18.00, become exercisable between February 23, 1996 and February 21, 2006, and will expire between February 23, 2005 and February 21, 2013./s/ Janet H. Slade2003-11-08 -----END PRIVACY-ENHANCED MESSAGE-----