0001654954-17-003494.txt : 20170420
0001654954-17-003494.hdr.sgml : 20170420
20170420162718
ACCESSION NUMBER: 0001654954-17-003494
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170328
FILED AS OF DATE: 20170420
DATE AS OF CHANGE: 20170420
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: HOWE MICHAEL C
CENTRAL INDEX KEY: 0001085722
STANDARD INDUSTRIAL CLASSIFICATION: BEVERAGES [2080]
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13471
FILM NUMBER: 17773282
MAIL ADDRESS:
STREET 1: 8799 BROOKLYN BLVD.
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55445
4
1
section16.xml
FORM 4
X0306
4
2017-03-28
0000875355
INSIGNIA SYSTEMS INC/MN
ISIG
0001085722
HOWE MICHAEL C
8799 BROOKLYN BLVD.
MINNEAPOLIS
MN
55445
true
Employee Stock Option (right to buy)
2.82
2017-03-28
4
H
false
10000
2.82
D
2015-06-09
2025-06-09
Common Stock
10000
0
D
Employee Stock Option (right to buy)
2.06
2017-03-28
4
A
false
13661
2.06
A
2017-03-28
2025-06-09
Common Stock
13661
13661
D
The two transactions reported involve the adjustment of an outstanding stock option to both (i) reduce the exercise price and (ii) increase the underlying shares of common stock to recognize the $0.70 cash dividend paid to the Issuer's shareholders on January 6, 2017.
/s/ Michael C. Howe
2017-04-20