-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, DTpKbAjz8SbFMNcs+DumcQZvNX8jACC0kXtSmGCP/ndDp5SvWHyYkmqLtXeI5/gb zoa6/FwuYzY7wiABTZB8ZA== 0001051990-04-000003.txt : 20041124 0001051990-04-000003.hdr.sgml : 20041124 20041124151454 ACCESSION NUMBER: 0001051990-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041123 FILED AS OF DATE: 20041124 DATE AS OF CHANGE: 20041124 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GRAHAM DANIEL J CENTRAL INDEX KEY: 0001051995 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22529 FILM NUMBER: 041167032 BUSINESS ADDRESS: BUSINESS PHONE: 8564246886 MAIL ADDRESS: STREET 1: C/O INTEST CORP STREET 2: 7 ESTERBROOK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 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: 7 ESTERBROOK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 BUSINESS PHONE: 856-424-6886 MAIL ADDRESS: STREET 1: 7 ESTERBROOK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-11-23 0 0001036262 INTEST CORP INTT 0001051995 GRAHAM DANIEL J C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL NJ 08003 1 1 0 0 GM-M & D Product Segment Common Stock 2004-11-23 4 A 0 20000 0 A 223260 D Common Stock 109000 I By Spouse The shares acquired are restricted shares issued pursuant to the Issuer's 1997 Stock Plan and will vest in increments of 25% annually commencing on November 23, 2005. 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. /s/ Daniel J. Graham 2004-11-24 -----END PRIVACY-ENHANCED MESSAGE-----