SEC Form 4 · accession 0001036262-17-000009
INTEST CORP · INTT
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert E Matthiessen
Officer — President & CEO · Director
Period of report
Mar 15, 2017
Accepted (ET)
Mar 17, 2017 · 11:39 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 | 148,119 | D | |
| Common StockF2 | holding | — | — | — | 61,618 | I | By Spouse |
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 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.
- F3The option vests in four equal annual installments beginning on March 15, 2018.