-----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, Ed+ZMJTSwR+znhlRjQcHJ+xxzGlP/15BcoKGjZyqk+2F4l9N/z/ChqDdVfyd2Osi LMPUra9TgiKX0X3fq8o+TA== 0001209191-03-030568.txt : 20031114 0001209191-03-030568.hdr.sgml : 20031114 20031114172349 ACCESSION NUMBER: 0001209191-03-030568 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: MARTIN JAMES THOMAS CENTRAL INDEX KEY: 0001269929 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00147 FILM NUMBER: 031006026 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 HICKA0001269929MARTIN JAMES THOMAS12700 LAKE AVENUESUITE 2612LAKEWOODOH441071000Class A Common Shares, $1.00 par value3000.0000DStock Option (Right to Buy)Class A Common Stock4000.00004000.0000DOwnership of these securities was reported on a previous Form 4 or Form 5.The reporting person still hold previously reported options to buy 4,000 shares of Class A Common Stock granted pursuant to the Hickok Incorporated 1997 Outside Directors Stock Option Plan and the Hickok Incorporated 2000 Outside Directors Stock Option Plan. These plans comply with Rule 16b-3. These options were granted between February 25, 2000 and February 21, 2003 at exercise prices ranging from $3.55 to $8.50, become exercisable between February 25 , 2001 and February 21, 2006, and will expire between February 25, 2010 and February 21, 2013./s/ James T. Martin2003-11-10 -----END PRIVACY-ENHANCED MESSAGE-----