SEC Form 4 · accession 0001036262-17-000008
INTEST CORP · INTT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
James Pelrin
Officer — Executive Vice President
Period of report
Mar 15, 2017
Accepted (ET)
Mar 17, 2017 · 11:22 am EDT
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 | Mar 15, 2012 | A | 11,500 | $0.00 | A | 63,448 | D | |
| Common StockF2 | holding | — | — | — | 16,190 | I | By Plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (right to buy)F3 | $6.35 | Mar 15, 2017 | A | 34,000 | A | — | Mar 14, 2027 | Common Stock | 34,000 | 34,000 | D |
Explanation of responses
- F1The 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.
- F2The 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.
- F3The option vests in four equal installments beginning on March 15, 2018.