0001545202-12-000001.txt : 20120322 0001545202-12-000001.hdr.sgml : 20120322 20120322141203 ACCESSION NUMBER: 0001545202-12-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120308 FILED AS OF DATE: 20120322 DATE AS OF CHANGE: 20120322 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rosen Steven CENTRAL INDEX KEY: 0001545202 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-00147 FILM NUMBER: 12708951 MAIL ADDRESS: STREET 1: 25101 CHAGRIN BOULEVARD SUITE 350 CITY: BEACHWOOD STATE: OH ZIP: 44122 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 primary_doc.xml PRIMARY DOCUMENT X0304 4 2012-03-08 0 0000047307 HICKOK INC HICKA 0001545202 Rosen Steven 25101 CHAGRIN BOULEVARD SUITE 350 BEACHWOOD OH 44122 1 0 1 0 Stock Option (Right to Buy) 2.925 2012-03-08 4 A 0 1000 0 A 2022-03-08 Class A Common Shares 1000 1000 D Granted pursuant to the Hickok Incorporated 2010 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/ Steven H. Rosen 2012-03-22