-----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, HFccqGxj8tS87FW30K2SaOLgNt+osjO/6kDuFJhXTiuOiAuxIqVfNit4mnW4mPKk prHWnrnNx3FLRC+UTIXwSw== 0001209191-03-030576.txt : 20031114 0001209191-03-030576.hdr.sgml : 20031114 20031114173656 ACCESSION NUMBER: 0001209191-03-030576 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: SEAHOLM HUGH S CENTRAL INDEX KEY: 0001243288 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00147 FILM NUMBER: 031006165 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 HICKA0001243288SEAHOLM HUGH S10514 DUPONT AVENUECLEVELANDOH441081000Stock Option (Right to Buy)3.67002013-02-21Class A Common Stock1000.00001000.0000DGranted pursuant to the Hickok Incorporated 2000 Outside Directors Stock Option Plan which complies with Rule 16b-3. These options become exercisable in equal 33% increments over three years beginning on the first anniversary of the date of the grant./s/ Hugh S. Seaholm2003-11-09 -----END PRIVACY-ENHANCED MESSAGE-----