0001654954-18-009158.txt : 20180814 0001654954-18-009158.hdr.sgml : 20180814 20180814170534 ACCESSION NUMBER: 0001654954-18-009158 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20180810 FILED AS OF DATE: 20180814 DATE AS OF CHANGE: 20180814 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: 181018707 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 2018-08-10 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001712798 Jagerson Jeffrey A 8799 BROOKLYN BLVD MINNEAPOLIS MN 55445 false true false CFO and Treasurer Common Stock 2018-08-10 4 A false 13570 0 A 95570 D Stock Option (right to buy) 1.95 2018-08-10 4 A true 13570 0 A 2028-08-10 Common Stock 13570 13570 D Restricted stock units, each representing a contingent right to receive one share of Issuer common stock, granted under the Insignia Systems, Inc. 2018 Equity Incentive Plan and scheduled to vest and settle in three substantially equal installments on August 10, 2020, 2021 and 2022. Award scheduled to vest in three substantially equal installments on August 10, 2020, 2021 and 2022. /s/ Joyce E. Kobilka, Attorney-in-Fact 2018-08-14 EX-24 2 jagerson20180720.htm POWER OF ATTORNEY Blueprint
 
EXHIBIT 24
 
POWER OF ATTORNEY
 
I, Jeffrey A. Jagerson, hereby authorize and designate each of Joyce E. Kobilka, W. Morgan Burns, Joshua L. Colburn, and Justina A. Roberts and signing singly, as my true and lawful attorney-in-fact to:
 
(1)           execute for and on my behalf, in my capacity as an officer and/or director of Insignia Systems, Inc. (the “Company”), Form ID or Forms 3, 4 and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934 (the “Exchange Act”) and the rules and regulations promulgated thereunder and other forms, reports or other documentation on my behalf as may be required to be filed in connection with my ownership, acquisition, or disposition of securities of the Company, including Form 144, or relating to my credentials for the electronic submission of filings to the U.S. Securities and Exchange Commission, including passphrase reset requests;
 
(2)           do and perform any and all acts for and on my behalf which may be necessary or desirable to complete and execute any such Form ID, Forms 3, 4 or 5, or other forms, reports or other documentation and file the same with the U.S. Securities and Exchange Commission and any stock exchange or similar authority; and
 
(3)           take any other action of any type whatsoever in connection with the foregoing which, in the opinion of such attorney-in-fact, may be to my benefit, in my best interest, or legally required of me, it being understood that the statements executed by such attorney-in-fact on my behalf pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as such attorney-in-fact may approve in such attorney-in-fact's discretion.
 
I hereby further grant to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary, or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as I might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that such attorney-in-fact, or such attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. I hereby acknowledge that the foregoing attorneys-in-fact, in serving in such capacity at my request, are not assuming, nor is the Company assuming, any of my responsibilities to comply with Section 16 of the Exchange Act.
 
This Power of Attorney shall remain in full force and effect until I am no longer required to file Forms 3, 4 or 5 with respect to my holdings of and transactions in securities issued by the Company, unless earlier revoked by me in a signed writing delivered to the foregoing attorneys-in-fact. Notwithstanding the foregoing, if any such attorney-in-fact hereafter ceases to be at least one of the following: (i) a partner or employee of Faegre Baker Daniels LLP or (ii) an employee of Insignia Systems, Inc., then this Power of Attorney shall be automatically revoked solely as to such individual, immediately upon such cessation, without any further action on my part.
 
I hereby revoke all previous Powers of Attorney that have been granted by me in connection with my reporting obligations under Section 16 of the Exchange Act with respect to my holdings of and transactions in securities issued by the Company.
 
IN WITNESS WHEREOF, I have caused this Power of Attorney to be duly executed as of this July 20, 2018.
 
 
 
/s/ Jeffrey A. Jagerson
Jeffrey A. Jagerson