0001654954-17-005924.txt : 20170627 0001654954-17-005924.hdr.sgml : 20170627 20170627152237 ACCESSION NUMBER: 0001654954-17-005924 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170623 FILED AS OF DATE: 20170627 DATE AS OF CHANGE: 20170627 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: Zaballos F. Peter CENTRAL INDEX KEY: 0001642448 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 17932254 MAIL ADDRESS: STREET 1: 8799 BROOKLYN BLVD. CITY: MINNEAPOLIS STATE: MN ZIP: 55445 4 1 section16.xml FORM 4 X0306 4 2017-06-23 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001642448 Zaballos F. Peter 8799 BROOKLYN BLVD. MINNEAPOLIS MN 55445 true Common Stock 2017-06-23 4 A false 28846 0 A 45953 D /s/ F. Peter Zaballos 2017-06-27