UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | SEC 1473 (7-02) | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. |
1. Title of Derivative Security (Instr. 4) |
2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
HOLT ALYN R C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL, NJ 08003 |
 X |  X |  Executive Chairman | Member of 10% 13d Group |
Holt Connie E. C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL, NJ 08003 |
 |  |  | Member of 10% 13d Group |
Thompson Kristen Holt C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL, NJ 08003 |
 |  |  | Member of 10% 13d Group |
Thompson Brian C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL, NJ 08003 |
 |  |  | Member of 10% 13d Group |
Holt Charitable Remainder Unitrust C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL, NJ 08003 |
 |  |  | Member of 10% 13d Group |
Alyn R. Holt Year 2001 Irrevocable Agreement of Trust C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL, NJ 08003 |
 |  |  | Member of 10% 13d Group |
Alyn R. Holt Trust fbo Kristen Holt Thompson C/O INTEST CORP 7 ESTERBROOK LANE CHERRY HILL, NJ 08003 |
 |  |  | Member of 10% 13d Group |
/s/ Hugh T. Regan, Jr., Attorney-in-Fact for Alyn R. Holt | 05/07/2010 | |
**Signature of Reporting Person | Date | |
/s/ Hugh T. Regan, Jr., Attorney-in-Fact for Connie E. Holt | 05/07/2010 | |
**Signature of Reporting Person | Date | |
/s/ Hugh T. Regan, Jr., Attorney-in-Fact for Kristen Holt Thompson | 05/07/2010 | |
**Signature of Reporting Person | Date | |
/s/ Hugh T. Regan, Jr., Attorney-in-Fact for Brian Thompson | 05/07/2010 | |
**Signature of Reporting Person | Date | |
/s/ Hugh T. Regan, Jr., Attorney-in-Fact for Holt Charitable Remainder Unitrust | 05/07/2010 | |
**Signature of Reporting Person | Date | |
/s/ Hugh T. Regan, Jr., Attorney-in-Fact for Alyn R. Holt Year 2001 Irrevocable Agreement of Trust | 05/07/2010 | |
**Signature of Reporting Person | Date | |
/s/ Hugh T. Regan, Jr., Attorney-in-Fact for Alyn R. Holt Trust fbo Kristen Holt Thompson | 05/07/2010 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 5(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | These shares are owned solely by Alyn R. Holt, a director and the Executive Chairman of the Company, and a member of a "Group" with the other reporting persons for purposes of Section 13(d) of the Exchange Act. Mr. Holt disclaims beneficial ownership of the shares owned by the other members of the Group, except to the extent owned by the 2000 Trust, and this report shall not be deemed an admission that Mr. Holt is the beneficial owner of any of the other shares reported herein for purposes of Section 16 or for any other purpose. |
(2) | These shares are owned solely by Connie E. Holt. Mrs. Holt disclaims beneficial ownership of the shares owned by the other members of the Group, except to the extent owned by the 2000 Trust, and this report shall not be deemed an admission that Mrs. Holt is the beneficial owner of any of the other shares reported herein for purposes of Section 16 or for any other purpose. |
(3) | These shares are owned soley by Kristen Holt Thompson. Mrs. Thompson disclaims beneficial ownership of the shares owned by the other members of the Group, except to the extent owned by the 2001 and the 2003 Trusts, and this report shall not be deemed an admission that Mrs. Thompson is the beneficial owner of any of the other shares for purposes of Section 16 or for any other purpose. |
(4) | These shares are owned solely by Brian Thompson. Mr. Thompson disclaims beneficial ownership of the shares owned by the other members of the Group, and this report shall not be deemed an admission that Mr. Thomspon is the beneficial owner of any of the other shares for purposes of Section 16 or for any other purpose. |
(5) | These shares are owned soley by Holt Charitable Remainder Unitrust u/a Dated 5/22/00 (the "2000 Trust"). The 2000 Trust disclaims beneficial ownership of the shares owned by the other members of the Group, and this report shall not be deemed an admission that the 2000 Trust is the beneficial onwer of any of the other shares for purposes of Section 16 or for any other purpose. |
(6) | These shares are owned soley by Alyn R. Holt Year 2001 Irrevocable Agreement of Trust u/a Dated 10/22/01 (the "2001 Trust"). The 2001 Trust disclaims beneficial ownership of the shares owned by the other members of the Group, and this report shall not be deemed an admission that the 2001 Trust is the beneficial owner of any of the other shares for purposes of Section 16 or for any other purpose. |
(7) | These shares are owned soley by Alyn R. Holt Trust fbo Kristen Holt Thompson u/a Dated 4/14/03 (the "2003 Trust"). The 2003 Trust disclaims beneficial ownership of the shares owned by the other members of the Group, and this report shall not be deemed an admission that the 2003 Trust is the beneficial owner of any of the other shares for purposes of Section 16 or for any other purpose. |
 Remarks: EXHIBIT LIST Exhibit 24 - Power of Attorney |