0000875355-11-000060.txt : 20111130 0000875355-11-000060.hdr.sgml : 20111130 20111130163444 ACCESSION NUMBER: 0000875355-11-000060 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111128 FILED AS OF DATE: 20111130 DATE AS OF CHANGE: 20111130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lucas A Thomas CENTRAL INDEX KEY: 0001396738 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 111234291 MAIL ADDRESS: STREET 1: 6470 SYCAMORE COURT NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSIGNIA SYSTEMS INC/MN CENTRAL INDEX KEY: 0000875355 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] IRS NUMBER: 411656308 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 8799 BROOKLYN BLVD. CITY: MINNEAPOLIS STATE: MN ZIP: 55445 BUSINESS PHONE: 7633926200 MAIL ADDRESS: STREET 1: 8799 BROOKLYN BLVD. CITY: MINNEAPOLIS STATE: MN ZIP: 55445 4 1 edgardoc.xml PRIMARY DOCUMENT X0304 4 2011-11-28 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001396738 Lucas A Thomas 8799 BROOKLYN BLVD MINNEAPOLIS MN 55445 0 1 0 0 Sr. Vice President, Operations Common Stock 2011-11-28 4 D 0 130001 2.2 D 4645 D /s/ Albert T. Lucas 2011-11-30