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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | |||
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 control number. | SEC 1474 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HOLT ALYN R C/O INTEST CORP 804 EAST GATE DR., SUITE 200 MT. LAUREL, NJ 08054 |
X | X | Executive Chairman | Member 10% 13d Group |
Thompson Kristen Holt C/O INTEST CORP 804 EAST GATE DR., SUITE 200 MT. LAUREL, NJ 08054 |
Member 10% 13d Group | |||
Holt Connie E. C/O INTEST CORP 804 EAST GATE DR., SUITE 200 MT. LAUREL, NJ 08054 |
Member 10% 13d Group | |||
Holt Charitable Remainder Unitrust C/O INTEST CORP 804 EAST GATE DR., SUITE 200 MT. LAUREL, NJ 08054 |
Member 10% 13d Group | |||
Alyn R. Holt Trust fbo Kristen Holt Thompson C/O INTEST CORP 804 EAST GATE DR., SUITE 200 MT. LAUREL, NJ 08054 |
Member 10% 13d Group |
/s/ Alyn R. Holt | 03/15/2017 | |
**Signature of Reporting Person | Date | |
/s/ Kristen Holt Thompson | 03/15/2017 | |
**Signature of Reporting Person | Date | |
/s/ Alyn R. Holt, Executor, Connie E. Holt | 03/15/2017 | |
**Signature of Reporting Person | Date | |
/s/ Kristen Holt Thompson, Trustee, Alyn R. Holt Trust fbo Kristen Holt Thompson | 03/15/2017 | |
**Signature of Reporting Person | Date | |
/s/ Alyn R. Holt, Trustee, Holt Charitable Remainder Unitrust | 03/15/2017 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(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). |
(1) | The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by this reporting person on August 30, 2016. |
(2) | This report shall not be deemed to be an admission that any reporting person is the beneficial owner of any shares reported herein, except to the extent of the reporting person's pecuniary interest therein. |