SEC Form 4 · accession 0001036262-16-000063
INTEST CORP · INTT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alyn R Holt
Officer — Executive Chairman · Director · 10% Owner · Other
Period of report
Nov 17, 2016
Accepted (ET)
Nov 21, 2016 · 1:53 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001036262
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Nov 17, 2016 | S | 13,974 | $4.014 | D | 1,088,598 | D | |
| Common StockF1 | Nov 17, 2016 | S | 10,000 | $4.005 | D | 1,078,598 | D | |
| Common StockF1 | Nov 18, 2016 | S | 79,794 | $4.0011 | D | 998,804 | D | |
| Common StockF2 | holding | — | — | — | 150,427 | I | By Trust under Will of deceased Spouse | |
| Common StockF3 | holding | — | — | — | 178,598 | I | By Daughter | |
| Common StockF4 | holding | — | — | — | 260,000 | I | By 2003 Trust | |
| Common StockF5 | holding | — | — | — | 115,000 | I | By 2000 Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These 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.
- F2These 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.
- F3These 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.
- F4These 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.
- F5These 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 reporting person is the beneficial owner of such securities for purposes of Section 16 or for any other other purpose, except to the extent of his pecuniary interest therein.