-----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, MCM1eGWli1dfL5VM1os0cflHzmxgSVA0QDxPPpLkP4ZqpWU8GzsBsLxIEwGxSnIh qVkUt3KdB9xidrtNleCu2A== 0000875355-05-000015.txt : 20050523 0000875355-05-000015.hdr.sgml : 20050523 20050523163214 ACCESSION NUMBER: 0000875355-05-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050518 FILED AS OF DATE: 20050523 DATE AS OF CHANGE: 20050523 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 05851608 BUSINESS ADDRESS: BUSINESS PHONE: 763-392-6309 MAIL ADDRESS: STREET 1: 6470 SYCAMORE COURT NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 4 1 shi28.xml X0202 4 2005-05-18 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) 0.9600 2005-05-18 4 A 0 40000 0.9600 A 2006-05-18 2015-05-18 Common Stock 0 40000 D 13,333 shares exercisable on May 18, 2006; 13,333 shares exercisable on May 18, 2007 and 13,334 shares execisable on May 18, 2008 By: /s/ Justin W. Shireman 2005-05-20 -----END PRIVACY-ENHANCED MESSAGE-----