0001104659-13-065565.txt : 20130822 0001104659-13-065565.hdr.sgml : 20130822 20130822135048 ACCESSION NUMBER: 0001104659-13-065565 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130821 FILED AS OF DATE: 20130822 DATE AS OF CHANGE: 20130822 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 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: 131054907 MAIL ADDRESS: STREET 1: 8799 BROOKLYN BLVD CITY: MINNEAPOLIS STATE: MN ZIP: 55445 4 1 a4.xml 4 X0306 4 2013-08-21 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001523147 Gonsior John 8799 BROOKLYN PARK MINNEAPOLIS MN 55445 0 1 0 0 VP Finance and CFO Incentive Stock Option 2.46 2013-08-21 4 A 0 35000 2.46 A 2014-08-21 2023-08-21 Common Stock 35000 35000 D Exercisable in annual one-third increments on the first, second, and third anniversaries of the date of this option grant. /s/ John Gonsior 2013-08-22