0001654954-17-008079.txt : 20170901 0001654954-17-008079.hdr.sgml : 20170901 20170901110251 ACCESSION NUMBER: 0001654954-17-008079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170901 FILED AS OF DATE: 20170901 DATE AS OF CHANGE: 20170901 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Jagerson Jeffrey A CENTRAL INDEX KEY: 0001712798 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 171065252 MAIL ADDRESS: STREET 1: 8799 BROOKLYN BLVD CITY: MINNEAPOLIS STATE: MN ZIP: 55445 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 4 1 section16.xml FORM 4 X0306 4 2017-09-01 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001712798 Jagerson Jeffrey A 8799 BROOKLYN BLVD. MINNEAPOLIS MN 55445 false true false CFO and Treasurer Common Stock 2017-09-01 4 A false 60000 0 A 60000 D Grant of restricted stock under the Insignia Systems, Inc. 2013 Omnibus Stock and Incentive Plan scheduled to vest in two equal installments on the first and second anniversaries of the date of grant. /s/ Jeffrey A Jagerson 2017-09-01