0000897101-12-000866.txt : 20120525
0000897101-12-000866.hdr.sgml : 20120525
20120525152045
ACCESSION NUMBER: 0000897101-12-000866
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20120523
FILED AS OF DATE: 20120525
DATE AS OF CHANGE: 20120525
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gonsior John
CENTRAL INDEX KEY: 0001523147
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13471
FILM NUMBER: 12871107
MAIL ADDRESS:
STREET 1: 8799 BROOKLYN BLVD
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55445
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
isig122301gonsior_4.xml
INSIGNIA SYSTEMS, INC. (GONSIOR) FORM 4
X0305
4
2012-05-23
0
0000875355
INSIGNIA SYSTEMS INC/MN
ISIG
0001523147
Gonsior John
8799 BROOKLYN BLVD
MINNEAPOLIS
MN
55445
0
1
0
0
VP Finance and CFO
Incentive Stock Option
1.74
2012-05-23
4
A
0
20000
1.74
A
2013-05-23
2022-05-23
Common Stock
20000
20000
D
Exercisable in annual one-third increments on the first, second, and third anniversaries of the date of this option grant.
/s/ John Gonsior
2012-05-25