0001209191-17-002903.txt : 20170109
0001209191-17-002903.hdr.sgml : 20170109
20170109153210
ACCESSION NUMBER: 0001209191-17-002903
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20170106
FILED AS OF DATE: 20170109
DATE AS OF CHANGE: 20170109
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Powers Brian E
CENTRAL INDEX KEY: 0001602729
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 000-00147
FILM NUMBER: 17517364
MAIL ADDRESS:
STREET 1: 25101 CHAGRIN BLVD.
STREET 2: SUITE 210
CITY: CLEVELAND
STATE: OH
ZIP: 44122
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2017-01-06
0
0000047307
HICKOK INC
HICKA
0001602729
Powers Brian E
C/O HICKOK INCORPORATED
10514 DUPONT AVENUE
CLEVELAND
OH
44108
1
1
0
0
Chief Executive Officer
Class A Common Shares, without par value
2017-01-06
4
A
0
13000
0.00
A
13000
D
Represents a grant of 13,000 Class A Common Shares issued pursuant to the Hickok Incorporated 2013 Omnibus Equity Plan.
/s/ Michael W. Nowak as attorney-in-fact for Brian E. Powers under Power of Attorney
2017-01-09
EX-24.4_694073
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
KNOW ALL BY THESE PRESENTS, that the undersigned hereby constitutes and
appoints each of Brian E. Powers, Kelly J. Marek, John J. Jenkins, Michael W.
Nowak and Gregory J. Dziak, signing singly, the undersigned's true and lawful
attorney-in-fact to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer, director and/or stockholder of Hickok Incorporated (the
"Company"), Forms 3, 4, and 5 pursuant to Section 16(a) of the Securities
Exchange Act of 1934, as amended (the "Exchange Act"), and the rules thereunder
and Form 144, and all relevant letters of representation in connection with Rule
144 of the Securities Act of 1933, as amended (the "Securities Act");
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, 5 or
144, and timely file any such Form or Forms with the United States Securities
and Exchange Commission and any stock exchange or similar authority or transmit
them to any broker, transfer agent, legal counsel or other relevant party; and
(3) take any other action of any type whatsoever in connection with the
foregoing (including implementation of EDGAR filings and filing capability)
which, in the opinion of such attorney-in-fact, may be of benefit to, in the
best interest of, or legally required by, the undersigned, it being understood
that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such Form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Exchange Act or Rule 144 of the Securities Act, or any
other liabilities or obligations.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, 5 or 144 with respect to
the undersigned's beneficial holdings of and transactions in securities issued
by the Company, unless earlier revoked by the undersigned in a signed writing
delivered to the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 5th day of January, 2017.
/s/ Brian E. Powers
Brian E. Powers