|4Jan 2, 2:59 PM ET

Elliott Jennifer Aplin 4

4 · HICKOK INC · Filed Jan 2, 2013

Insider Transaction Report

Form 4
Period: 2012-12-30
Transactions
  • Exercise/Conversion

    Convertible Promissory Note

    2012-12-30+112,7520 total(indirect: By Trust)
    Exercise: $1.85From: 2011-12-30Exp: 2012-12-30Class A Common Stock (112,752 underlying)
  • Exercise/Conversion

    Class A Common Stock, no par value.

    2012-12-30$1.85/sh+112,752$208,591127,411 total(indirect: By Trust)
Footnotes (1)
  • [F1]1. On December 30, 2011, Hickok Incorporated (the "Company") entered into a Convertible Loan Agreement (the "Convertible Loan Agreement") with the Aplin Family Trust (the "Aplin Trust") among others. Under the Convertible Loan Agreement, the Company issued a convertible note to the Aplin Trust in the principal amount of $208,591.20 ( the "Note"). The Convertible Loan Agreement provided that the Note may be converted by the Aplin Trust at any time, in whole or in part, into Class A Common Shares of the Company ("Conversion Shares") at a conversion price of $1.85 per share. The Aplin Note may not be converted into more than 112,752 Conversion Shares.

Documents

1 file
  • 4
    primary_doc.xmlPrimary

    PRIMARY DOCUMENT