-----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, AweFiIpzBz1FqTl8+CXo98WEKoX9X/OmhN80/caI9nRK4xVzOcgWGuV8HZoF1gvy kgzvV/2R0X0ghuyJw4iP4Q== 0001067668-04-000003.txt : 20041012 0001067668-04-000003.hdr.sgml : 20041011 20041012142906 ACCESSION NUMBER: 0001067668-04-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041008 FILED AS OF DATE: 20041012 DATE AS OF CHANGE: 20041012 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BORTNEM JEROME R CENTRAL INDEX KEY: 0001067668 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-22529 FILM NUMBER: 041074504 BUSINESS ADDRESS: STREET 1: C/O INTEST CORP STREET 2: 2 PIN OAK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 BUSINESS PHONE: 856-424-6886 MAIL ADDRESS: STREET 1: C/O INTEST CORP STREET 2: 7 ESTERBROOK LANE CITY: CHERRY HILL STATE: NJ ZIP: 08003 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-10-08 0 0001036262 INTEST CORP INTT 0001067668 BORTNEM JEROME R C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL NJ 08003 0 1 0 0 VP - Sales and Marketing Common Stock 2004-10-08 4 M 0 5609 3.04 A 19145 D Common Stock 2004-10-08 4 S 0 5609 9 D 13536 D Employee Stock Option (Right to Buy) 3.04 2004-10-08 4 M 0 5609 0 D 2013-02-23 Common Stock 5609 12091 D The sale reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on August 18, 2004. The option was 50% vested upon grant, with the remaining 50% vesting in annual increments of 25% each beginning February 24, 2004. /s/ Jerome R. Bortnem 2004-10-12 -----END PRIVACY-ENHANCED MESSAGE-----