0001654954-17-003498.txt : 20170420 0001654954-17-003498.hdr.sgml : 20170420 20170420163323 ACCESSION NUMBER: 0001654954-17-003498 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: Zenz Steven R CENTRAL INDEX KEY: 0001589558 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 17773325 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 0001589558 Zenz Steven R 8799 BROOKLYN BLVD MINNEAPOLIS MN 55445 true Employee Stock Option (right to buy) 2.79 2017-03-28 4 H false 10000 2.46 D 2013-10-17 2023-10-17 Common Stock 10000 0 D Employee STock Option (right to buy) 2.04 2017-03-28 4 A false 13661 2.04 A 2017-03-28 2023-10-17 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 chas dividend paid to the Issuer's shareholders on January 6, 2017. /s/ Steven Zenz 2017-04-20