SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
HOLT ALYN R

(Last) (First) (Middle)
C/O INTEST CORP
804 EAST GATE DR., SUITE 200

(Street)
MT. LAUREL NJ 08054

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
INTEST CORP [ INTT ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) X Other (specify below)
Executive Chairman / Member 10% 13d Group
3. Date of Earliest Transaction (Month/Day/Year)
03/10/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
Form filed by One Reporting Person
X Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 03/10/2017 S 90,000 D $6.2671 908,804 D(1)
Common Stock 03/10/2017 S 10,000 D $6.1 898,804 D(1)
Common Stock 150,427 I(2) By Trust under Will of deceased spouse
Common Stock 178,598 I(2) By Daughter
Common Stock 260,000 I(2) By 2003 Trust
Common Stock 115,000 I(2) By 2000 Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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 Securities Underlying Derivative Security (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: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
1. Name and Address of Reporting Person*
HOLT ALYN R

(Last) (First) (Middle)
C/O INTEST CORP
804 EAST GATE DR., SUITE 200

(Street)
MT. LAUREL NJ 08054

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Holt Connie E.

(Last) (First) (Middle)
C/O INTEST CORP
804 EAST GATE DR., SUITE 200

(Street)
MT. LAUREL NJ 08054

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Thompson Kristen Holt

(Last) (First) (Middle)
C/O INTEST CORP
804 EAST GATE DR., SUITE 200

(Street)
MT. LAUREL NJ 08054

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Alyn R. Holt Trust fbo Kristen Holt Thompson

(Last) (First) (Middle)
C/O INTEST CORP
804 EAST GATE DR., SUITE 200

(Street)
MT. LAUREL NJ 08054

(City) (State) (Zip)
1. Name and Address of Reporting Person*
Holt Charitable Remainder Unitrust

(Last) (First) (Middle)
C/O INTEST CORP
804 EAST GATE DR., SUITE 200

(Street)
MT. LAUREL NJ 08054

(City) (State) (Zip)
Explanation of Responses:
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.
/s/ Alyn R. Holt 03/13/2017
/s/ Alyn R. Holt, Executor, Connie E. Holt 03/13/2017
/s/ Kristen Holt Thompson 03/13/2017
/s/ Kristen Holt Thompson, Trustee, Alyn R. Holt Trust FBO Kristen Holt Thompson 03/13/2017
/s/ Alyn R. Holt, Trustee, Holt Charitable Remainder Unitrust 03/13/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* 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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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