-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, K8VkYnIX2Ip3tkJR8laZR5L2SzWGHOKyHR89jOYKgIijZM4yzHWhNRs9MpGbwNcI QxCKGgQuHlD1yrhe+ImOtg== 0001036262-02-000035.txt : 20020826 0001036262-02-000035.hdr.sgml : 20020826 20020826102529 ACCESSION NUMBER: 0001036262-02-000035 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20020823 FILED AS OF DATE: 20020826 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INTEST CORP CENTRAL INDEX KEY: 0001036262 STANDARD INDUSTRIAL CLASSIFICATION: INSTRUMENTS FOR MEAS & TESTING OF ELECTRICITY & ELEC SIGNALS [3825] IRS NUMBER: 222370659 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22529 FILM NUMBER: 02747630 BUSINESS ADDRESS: STREET 1: 2 PIN OAK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 BUSINESS PHONE: 6094246886 COMPANY DATA: COMPANY CONFORMED NAME: MATTHIESSEN ROBERT E CENTRAL INDEX KEY: 0001051994 OFFICER FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: C/O INTEST CORP STREET 2: 2 PIN OAK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 BUSINESS PHONE: 6094246886 MAIL ADDRESS: STREET 1: C/O INTEST CORP STREET 2: 2 PIN OAK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 4 1 f4rem-82302.txt
- ------------ U.S. SECURITIES AND EXCHANGE COMMISSION ----------------------------- |F O R M 4 | Washington, D.C. 20549 | OMB APPROVAL | - ------------ |---------------------------| STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP |OMB Number 3235-0287| [ ] Check this box if no |Expires: January 31, 2005 | longer subject to Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, | Estimated average burden | Section 16. Form 4 or Section 17(a) of the Public Utility Holding Company Act of 1935 or | hours per response....0.5 | 5 obligations may Section 30(f) of the Investment Company Act of 1940 ----------------------------- continue - --------------------------------------------------------------------------------------------------------------------------------- |1. Name & Address of Reporting Person |2.Issuer Name & Ticker or Trading Symbol |6. Relationship of Reporting Person to Issuer| | | | (Check all Applicable) | | | inTEST Corporation (INTT) | | | Matthiessen Robert E. | | X Director 10% Owner | |---------------------------------------|-----------------------------------------| --- --- | | (Last) (First) (MI) |3.IRS or Soc. Sec. No.|4. Statement for | X Officer Other | | | of Reporting Person | Month/Year | --- (Give title below) --- (Specify below)| | c/o inTEST Corporation | (Voluntary) | | | | 7 Esterbrook Lane | | August 2002 | President and Chief Executive Officer | |---------------------------------------| |------------------|---------------------------------------------| | (Street) | |5. If Amendment, |7. Individual or Joint/Group Filing | | | | Date of | (Check Applicable Line) | | | | Original | | | | | (Month/Year) | X Form filed by One Reporting Person | | | | | --- | | | | | Form filed by More than One Reporting | | Cherry Hill NJ 08003 | | | --- Person | |---------------------------------------|----------------------|------------------|---------------------------------------------| | (City) (State) (Zip) | | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | |-------------------------------------------------------------------------------------------------------------------------------| |1.Title of Security |2.Transaction |3.Transaction|4.Securities Acquired (A)|5.Amount of |6.Ownership |7.Nature of Indirect | | (Instr. 3) | Date (M/D/Y)| Code | or Disposed of (D) | Securities | Form: | Beneficial Ownership| | | | (Instr. 8) | (Inst. 3, 4 and 5) | Beneficially | Direct (D)| Ownership | | | |-------------|-------------------------| Owned at End | or In- | (Instr. 4) | | | | | |(A)| | of Month | direct(I) | | | | | Code | V | Amount |(D)| Price | Instr. 3 & 4)| (Instr. 4)| | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | || | | | | | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| | | | | | | | | | | | |--------------------|--------------|--------|----|-----------|---|---------|---------------|------------|----------------------| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) - ---------------------------------------------------------------------------------------------------------------------------------- |1.Title of |2.Conver- |3.Trans-|4.Trans-|5.Number of|6.Date Exer-|7.Title & Amount|8.Price of |9.Number of |10.Owner-|11.Nature| | Derivative| sion or | action | action | Derivative| cisable and| of Underlying | Derivative| Derivative | ship | of In- | | Security | Exercise | Date | Code | Securities| Expiration | Securities | Security | Securities | Form of| direct | | (Instr. 3)| Price of | (M/D/Y)|(Inst.8)| Acquired | Date(M/D/Y)|(Instr. 3 and 4)| (Instr. 5)|Beneficially| Deriva- | Benefi-| | |Derivative| | |(A) or Dis-|------------|----------------| | Owned at | tive | cial | | |Security | | |posed of(D)|Date | | | | | End of | Security| Owner- | | | | |--------|-----------|Exer-|Expir-| |Amount or| | Month | Direct | ship | | | | | | | | |cisa-|ation | |number of| | (Instr. 4) | (D) or |(Instr 4)| | | | |Code| V |(A)| (D) | ble | Date |Title | Shares | | |(Instr.4)| | |------------|----------|--------|----|---|---|-------|-----|------|------|---------|-----------|------------|---------|---------| |Employee | | | | | | | | |Common| | | | | | |Stock Option| $10.00 | 8/23/02| D | V | |125,000| (1) | |Stock | 125,000 | | -0- | (D) | | |(Right to | | | | | | | |8/10/10 | | | | | | | buy) | | | | | | | | | | | | | | | |------------|----------|--------|----|---|---|-------|-----|------|------|---------|-----------|------------|---------|---------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |------------|----------|--------|----|---|---|-------|-----|------|------|---------|-----------|------------|---------|---------| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |------------|----------|--------|----|---|---|-------|-----|------|------|---------|-----------|------------|---------|---------|
Explanation of Responses: (1) The option became exercisable in annual increments of 20% beginning on August 11, 2001. (2) The reporting person agreed to the cancellation of the option pursuant to an agreement with inTEST whereby he will be issued a new option to purchase 125,000 shares of inTEST common stock on February 24, 2003. The new option will have an exercise price equal to the fair market value at that time and will be 50% vested immediately, with the remaining 50% vesting in annual increments of 25% each beginning February 24, 2004. /s/ Robert E. Matthiessen August 26, 2002 - ---------------------------------- -------------------- ** Signature of Reporting Person Date **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). PAGE 2 OF 2 -----END PRIVACY-ENHANCED MESSAGE-----