0001179110-15-009623.txt : 20150611 0001179110-15-009623.hdr.sgml : 20150611 20150611152813 ACCESSION NUMBER: 0001179110-15-009623 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150609 FILED AS OF DATE: 20150611 DATE AS OF CHANGE: 20150611 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: Dall Glen CENTRAL INDEX KEY: 0001543595 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 15925879 MAIL ADDRESS: STREET 1: 8799 BROOKLYN BLVD. CITY: MINNEAPOLIS STATE: MN ZIP: 55445 4 1 edgar.xml FORM 4 - X0306 4 2015-06-09 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001543595 Dall Glen 8799 BROOKLYN BLVD. MINNEAPOLIS MN 55445 1 1 0 0 President & CEO Incentive Stock Option 2.82 2015-06-09 4 A 0 100000 2.82 A 2016-06-09 2025-06-09 Common Stock 100000 100000 D Restricted Stock Units 2015-06-09 4 A 0 15000 0 A Common Stock 15000 15000 D Exercisable in annual one-third increments on the first, second, and third anniversaries of the date of this option grant. Each restricted stock unit represents a contingent right to receive one share of ISIG common stock. The restricted stock units vest in three equal annual installments beginning June 9, 2016 and will be delivered to reporting person on vest date. /s/ Glen Dall 2015-06-11