0001654954-22-000346.txt : 20220110
0001654954-22-000346.hdr.sgml : 20220110
20220110180239
ACCESSION NUMBER: 0001654954-22-000346
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211231
FILED AS OF DATE: 20220110
DATE AS OF CHANGE: 20220110
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: MAY ADAM D
CENTRAL INDEX KEY: 0001796221
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-13471
FILM NUMBER: 22522259
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: 212 THIRD AVE N
STREET 2: STE 356
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55401
BUSINESS PHONE: 7633926200
MAIL ADDRESS:
STREET 1: 212 THIRD AVE N
STREET 2: STE 356
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55401
4/A
1
section16.xml
FORM 4/A
X0306
4/A
2021-12-31
2022-01-04
0000875355
INSIGNIA SYSTEMS INC/MN
ISIG
0001796221
MAY ADAM D
212 THIRD AVE N, STE 356
MINNEAPOLIS
MN
55401
false
true
false
CHIEF GROWTH OFFICER
Common Stock
2021-12-31
4
F
false
645
23.08
D
14290
D
Reflects a correction to the number of shares forfeited to satisfy tax liability.
/s/ Joyce E Kobilka, Attorney-in-Fact
2022-01-10