-----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, DUKspD2AAXbW/ZN/i4XrBTlBZ1IPa7DiOVbVbXbRzAkw5h4SxpPusY+u+Lpi1h8u eoqdNdP+O0n9f+FCxsqZlg== 0000875355-05-000004.txt : 20050415 0000875355-05-000004.hdr.sgml : 20050415 20050415115238 ACCESSION NUMBER: 0000875355-05-000004 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050411 FILED AS OF DATE: 20050415 DATE AS OF CHANGE: 20050415 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSIGNIA SYSTEMS INC/MN CENTRAL INDEX KEY: 0000875355 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990] IRS NUMBER: 411656308 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 6470 SYCAMORE COURT NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 BUSINESS PHONE: 7633926200 MAIL ADDRESS: STREET 1: 6470 SYCAMORE COURT NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shireman Justin W CENTRAL INDEX KEY: 0001323711 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 05752683 BUSINESS ADDRESS: BUSINESS PHONE: 763-392-6309 MAIL ADDRESS: STREET 1: 6470 SYCAMORE COURT NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 3 1 shi24.xml X0202 3 2005-04-11 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001323711 Shireman Justin W 6470 SYCAMORE COURT NORTH MAPLE GROVE MN 55369 0 1 0 0 VP Finance and CFO Stock Option (Right to Buy) 6.0600 2004-04-30 2013-05-20 Common Stock 10000 D Stock Option (Right to Buy) 1.9500 2004-12-31 2014-02-19 Common Stock 5000 D Stock Option (Right to Buy) 1.3100 2004-05-20 2014-05-20 Common Stock 15000 D 3,333 shares exercisable on April 30, 2004; 3,333 shares exercisable on April 30, 2005; and 3,334 shares exercisable on April 30, 2006. Shares exercisable on December 31, 2004. 5,000 shares exercisable on May 20, 2005; 5,000 shares exercisable on May 20, 2006 and 5,000 shares exercisable on May 20, 2007. By: /s/ Justin W. Shireman 2005-04-15 -----END PRIVACY-ENHANCED MESSAGE-----