0001654954-18-010741.txt : 20181002 0001654954-18-010741.hdr.sgml : 20181002 20181002135939 ACCESSION NUMBER: 0001654954-18-010741 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180930 FILED AS OF DATE: 20181002 DATE AS OF CHANGE: 20181002 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Berning Jacob J CENTRAL INDEX KEY: 0001627511 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 181100623 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 2018-09-30 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001627511 Berning Jacob J 8799 BROOKLYN BLVD MINNEAPOLIS MN 55445 true false false false Common Stock Equivalent 0 2018-09-30 4 A false 3179 1.73 A Common Stock 3179 3179 D Each Common Stock Equivalent is the economic equivalent of one share of Insignia Systems, Inc. common stock. The Common Stock Equivalents were acquired pursuant to the Insignia Systems, Inc. Deferred Compensation Plan for Directors (the "Plan"), whereby Directors may elect to defer receipt of cash fees. The Common Stock Equivalents will be settled (i) in Insignia Systems, Inc. common stock upon a separation from service with the Company or (ii) in cash upon an earlier change in control of the Company. /s/ Joyce E. Kobilka, Attorney-In-Fact 2018-10-02