SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
CRAWFORD MATTHEW V

(Last) (First) (Middle)
10514 DUPONT AVE.

(Street)
CLEVELAND OH 44108

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/26/2014
3. Issuer Name and Ticker or Trading Symbol
HICKOK INC [ HICKA ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
02/28/2014
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 320,918 I See Footnotes(1)(2)
Class B Common Stock 20,000 I See Footnotes(1)(2)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Convertible Loan Agreement 12/30/2012 12/30/2014 Class A Common Stock 252,367(3) $1.85 I See Footnotes(1)(2)
Warrant to Purchase Class A Common Stock 12/30/2012 12/30/2015 Class A Common Stock 100,000 $2.5(4) I See Footnotes(1)(2)
1. Name and Address of Reporting Person*
CRAWFORD MATTHEW V

(Last) (First) (Middle)
10514 DUPONT AVE.

(Street)
CLEVELAND OH 44108

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
X Director X 10% Owner
Officer (give title below) Other (specify below)
1. Name and Address of Reporting Person*
Three Bears Trust

(Last) (First) (Middle)
1660 WEST 2ND STREET, SUITE 1100

(Street)
CLEVELAND OH 44122

(City) (State) (Zip)

Relationship of Reporting Person(s) to Issuer
Director X 10% Owner
Officer (give title below) Other (specify below)
Explanation of Responses:
1. This Form 3 is being filed by the undersigned as well as the entity listed on the Joint Filer Information Statement attached as an exhibit hereto (the "Reporting Persons"). The securities reported herein are directly owned by Roundball (reporting separately), and indirectly held by Three Bears Trust and Mr. Crawford. Mr. Crawford is the Trustee for the Three Bears Trust; the beneficiaries of the Three Bears Trust are his three minor children. Three Bears Trust owns 50% of Roundball and, under the operating agreement between the investors of Roundball, has the right to consent to major decisions by Roundball and, therefore, Mr. Crawford, as the Trustee of Three Bears Trust, shares investment control with Roundball. In accordance with instruction 5(b)(iv) to Form 3, the entire amount of Hickok, Inc.'s (the "Issuer") securities held by Roundball is reported herein.
2. For purposes of the Securities Exchange Act of 1934, each Reporting Person disclaims beneficial ownership of any such securities, except to the extent of his/its pecuniary interest therein, if any, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of such securities for purposes of Section 16 or otherwise.
3. The Issuer entered into a convertible loan agreement for debt with Roundball and another investor providing Roundball the right to convert outstanding debt into Class A Common Stock. Under the terms of the loan agreement, if Roundball exercised its conversion right in full, it could convert up to 504,735 Class A Common Shares. Pursuant to the loan agreement, as amended, Roundball continues to hold, as of the original filing date, the option to convert debt into up to 252,367 shares of Class A Common Stock.
4. Contains standard anti-dilution provisions.
Remarks:
This amendment is being filed to include the indirect holdings of The Three Bears Trust (the "Three Bears Trust") (and related exhibits including the joint filing statement and power of attorney), and to correct inadvertent error. The lines reported above providing ownership information were not previously reported in the original Form 3 filing, but were reported by the direct holder, Roundball, LLC ("Roundball"). Exhibit List Exhibit 24.1 - Power of Attorney (for Matthew V. Crawford, individually and as trustee for Three Bears Trust) Exhibit 99.1 - Joint Filing Statement
/s/ Molly Brown, POA, for Matthew V. Crawford 11/12/2014
/s/ Molly Brown, poa for Matthew V. Crawford, Trustee for Three Bears Trust 11/12/2014
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.