0001036262-16-000055.txt : 20160823
0001036262-16-000055.hdr.sgml : 20160823
20160823113117
ACCESSION NUMBER: 0001036262-16-000055
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160819
FILED AS OF DATE: 20160823
DATE AS OF CHANGE: 20160823
ISSUER:
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
BUSINESS ADDRESS:
STREET 1: 804 EAST GATE DR., SUITE 200
CITY: MT. LAUREL
STATE: NJ
ZIP: 08054
BUSINESS PHONE: 856-505-8800
MAIL ADDRESS:
STREET 1: 804 EAST GATE DR., SUITE 200
CITY: MT. LAUREL
STATE: NJ
ZIP: 08054
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: HOLT ALYN R
CENTRAL INDEX KEY: 0001043054
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36117
FILM NUMBER: 161846663
MAIL ADDRESS:
STREET 1: C/O INTEST CORP
STREET 2: 7 ESTERBROOK LANE
CITY: CHERRY HILL
STATE: NJ
ZIP: 08003
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-08-19
0
0001036262
INTEST CORP
INTT
0001043054
HOLT ALYN R
C/O INTEST CORP
804 EAST GATE DR., SUITE 200
MT. LAUREL
NJ
08054
1
1
1
1
Exec Chairman
Member of 10% 13d Group
Common Stock
2016-08-19
4
S
0
3034
4
D
1124972
D
Common Stock
150427
I
By Trust under the Will of deceased Spouse
Common Stock
178598
I
By Daughter
Common Stock
260000
I
By 2003 Trust
Common Stock
115000
I
By 2000 Trust
These shares are owned solely by Alyn R. Holt. Mr. Holt is a member of a "13d Group" with Kristen Holt Thompson, the Alyn R. Holt Trust FBO Kristen Holt Thompson u/a dated 4/14/03 ("2003 Trust"), the Holt Charitable Remainder Unitrust u/a dated 5/22/00 ("2000 Trust"), and a Testamentary Trust established under the will of the reporting person's deceased spouse for purposes of Section 13(d) of the Exchange Act.
These shares are owned solely by a Testamentary Trust established under the will of the reporting person's deceased spouse for the benefit of the reporting person's daughter, and this report shall not be deemed to be an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
These shares are owned solely by the reporting person's daughter. The reporting person gained attributable beneficial ownership in these shares when his daughter moved into his household. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed to be an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
These shares are owned solely by the 2003 Trust established for the benefit of the reporting person's daughter. The reporting person gained attributable beneficial ownership in these shares when his daughter moved into his household. The reporting person disclaims beneficial ownership of these securities, and this report shall not be deemed to be an admission that the reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose.
These shares are owned solely by the 2000 Trust of which the reporting person is trustee and of which the reporting person is the sole non-charitable beneficiary, and this report shall not be deemed to be an admission that the report person is the beneficial owner of such securities for purposes of Section 16 or for any other purpose, except to the extent of his pecuniary interest therein.
/s/ Alyn R. Holt
2016-08-23