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