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