0001615594-20-000013.txt : 20200214
0001615594-20-000013.hdr.sgml : 20200214
20200214133209
ACCESSION NUMBER: 0001615594-20-000013
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191231
FILED AS OF DATE: 20200214
DATE AS OF CHANGE: 20200214
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SAMPSON RANDALL D
CENTRAL INDEX KEY: 0001042527
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-31588
FILM NUMBER: 20617463
MAIL ADDRESS:
STREET 1: 1100 CANTERBURY ROAD
CITY: SHAKOPEE
STATE: MN
ZIP: 55379
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: COMMUNICATIONS SYSTEMS INC
CENTRAL INDEX KEY: 0000022701
STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE & TELEGRAPH APPARATUS [3661]
IRS NUMBER: 410957999
STATE OF INCORPORATION: MN
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 10900 RED CIRCLE DRIVE
CITY: MINNETONKA
STATE: MN
ZIP: 55343
BUSINESS PHONE: 9529961674
MAIL ADDRESS:
STREET 1: 10900 RED CIRCLE DRIVE
CITY: MINNETONKA
STATE: MN
ZIP: 55343
5
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
5
2019-12-31
0
0
0
0000022701
COMMUNICATIONS SYSTEMS INC
JCS
0001042527
SAMPSON RANDALL D
1100 CANTERBURY ROAD
SHAKOPEE
MN
55379
1
0
0
0
Common Stock
2019-12-20
5
G
0
5000
0
D
66168
D
Common Stock
34200
I
By Spouse, Children
This Form 5 presents, as of December 31, 2019, the Reporting Person's beneficial ownership of the Issuer's common stock for purposes of Section 16 under the Securities Exchange Act of 1934, as amended. Mr. Sampson disclaims any beneficial ownership of the shares of the Issuer owned by the Randy & Sue Sampson Foundation. Although Mr. Sampson is a manager of the Randy & Sue Sampson Foundation, a 501(c)(3) tax-exempt organization, the Reporting Person may not, and in fact, does not personally derive any profit from the Foundation's transactions in the Issuer's common stock.
Suzette McNally, Attorney-in-Fact for Randall D. Sampson
2020-02-14