-----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, WK61r8ouPINxwFSWuxWvXYp3oGTCQcyl6pi42Uz48PCJC86uuSFiqvZ1KYVsxd6l qufvvkqntxZ9kGlRBQMcxg== 0001209191-04-012662.txt : 20040225 0001209191-04-012662.hdr.sgml : 20040225 20040225184946 ACCESSION NUMBER: 0001209191-04-012662 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040219 FILED AS OF DATE: 20040225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SEAHOLM HUGH S CENTRAL INDEX KEY: 0001243288 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00147 FILM NUMBER: 04628612 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 4 1 doc4.xml FORM 4 SUBMISSION X0201 4 2004-02-19 0 0000047307 HICKOK INC HICKA 0001243288 SEAHOLM HUGH S 10514 DUPONT AVENUE CLEVELAND OH 44108 1 0 0 0 Employee Stock Option (Right to Buy) Common Shares 1000.0000 D Employee Stock Option (Right to Buy) 7.2500 2004-02-19 4 A 0 1000.0000 0 A 2005-02-19 2014-02-19 Common Shares 1000.0000 2000.0000 D Ownership of these securities was reported on a previous Form 4 or Form 5. The reporting person was granted options to purchase Common Shares (with tandem tax withholding rights) under the Hickok Incorporated 2003 Outside Directors Stock Option Plan in reliance upon an exemption provided under Rule 16b-3. These options become exercisable in 33% increments over 3 years beginning on February 19, 2005. The reporting person still holds previously reported options to buy 1,000 shares of Class A Common Stock granted pursuant to the Hickok Incorporated 2000 Outside Directors Stock Option Plan. These plans comply with Rule 16b-3. These options were granted between February 21, 2003 and February 19, 2004 at exercise prices ranging from $3.55 to $18.00, become exercisable between February 21, 2003 and February 21, 2007, and will expire between February 21, 2013 and February 19, 2014. /s/ Hugh S. Seaholm, by Stephen D. Klinge, his attorney-in-fact, pursuant to Power of Attorney 2004-02-25 -----END PRIVACY-ENHANCED MESSAGE-----