0001209191-17-002905.txt : 20170109 0001209191-17-002905.hdr.sgml : 20170109 20170109153512 ACCESSION NUMBER: 0001209191-17-002905 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 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: Marek Kelly CENTRAL INDEX KEY: 0001251096 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00147 FILM NUMBER: 17517374 MAIL ADDRESS: STREET 1: 6050 OAK TREE BLVD. STREET 2: SUITE #500 CITY: CLEVELAND STATE: OH ZIP: 44131 FORMER NAME: FORMER CONFORMED NAME: KUNA KELLY DATE OF NAME CHANGE: 20030630 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-06 0 0000047307 HICKOK INC HICKA 0001251096 Marek Kelly C/O HICKOK INCORPORATED 10514 DUPONT AVENUE CLEVELAND OH 44108 0 1 0 0 Chief Financial Officer Class A Common Shares, without par value 2017-01-06 4 A 0 3000 0.00 A 3000 D Represents a grant of 3,000 Class A Common Shares issued pursuant to the Hickok Incorporated 2013 Omnibus Equity Plan. /s/ Kelly J. Marek, by Michael W. Nowak, her attorney-in-fact pursuant to Power of Attorney dated January 4, 2017 on file with the Commission 2017-01-09