0001036262-17-000008.txt : 20170317
0001036262-17-000008.hdr.sgml : 20170317
20170317112240
ACCESSION NUMBER: 0001036262-17-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170315
FILED AS OF DATE: 20170317
DATE AS OF CHANGE: 20170317
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: PELRIN JAMES
CENTRAL INDEX KEY: 0001309992
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36117
FILM NUMBER: 17696924
MAIL ADDRESS:
STREET 1: C/O INTEST CORP
STREET 2: 804 EAST GATE DRIVE, SUITE 200
CITY: MT. LAUREL
STATE: NJ
ZIP: 08054
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2017-03-15
0
0001036262
INTEST CORP
INTT
0001309992
PELRIN JAMES
C/O INTEST CORP
804 EAST GATE DRIVE, SUITE 200
MT. LAUREL
NJ
08054
0
1
0
0
Executive Vice President
Common Stock
2012-03-15
4
A
0
11500
0
A
63448
D
Common Stock
16189.94
I
By Plan
Employee Stock Option (right to buy)
6.35
2017-03-15
4
A
0
34000
0
A
2027-03-14
Common Stock
34000
34000
D
The shares acquired are restricted shares issued pursuant to the Issuer's 2014 Stock Plan and will vest in increments of 25% annually commencing on March 15, 2018.
The information in this report is based on information provided by the third-party Trustee of the inTEST Corporation Incentive Savings Plan ("Plan") as of December 31, 2016. Actions by the Trustee of the Plan to maintain overall Plan liquidity targets over time will result in periodic fluctuations in the number of shares of inTEST Common Stock held by the Plan and allocated among the participants of the Plan (including the reporting person), and are not the result of any volitional or discretionary actions of the reporting person.
The option vests in four equal installments beginning on March 15, 2018.
/s/ James Pelrin
2017-03-16