-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, MOfCcgd92bVclEcVhNrkrpkjeK9GqnpvgqrM9lwgcYl32puGJlLtml+n/T2QVYJk SPA0SVVPzkf5ihC8K0xJgw== 0000897101-98-000104.txt : 19980211 0000897101-98-000104.hdr.sgml : 19980211 ACCESSION NUMBER: 0000897101-98-000104 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 19980210 SROS: NONE SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INSIGNIA SYSTEMS INC/MN CENTRAL INDEX KEY: 0000875355 STANDARD INDUSTRIAL CLASSIFICATION: WHOLESALE-PROFESSIONAL & COMMERCIAL EQUIPMENT & SUPPLIES [5040] IRS NUMBER: 411656308 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G SEC ACT: SEC FILE NUMBER: 005-41912 FILM NUMBER: 98529095 BUSINESS ADDRESS: STREET 1: 10801 RED CIRCLE DR CITY: MINNETONKA STATE: MN ZIP: 55343 BUSINESS PHONE: 6129308200 MAIL ADDRESS: STREET 1: 10801 RED CIRCLE DRIVE STREET 2: 10801 RED CIRCLE DRIVE CITY: MINNETONKA STATE: MN ZIP: 55343 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: HOFFMAN G L CENTRAL INDEX KEY: 0000904037 STANDARD INDUSTRIAL CLASSIFICATION: UNKNOWN SIC - 0000 [0000] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 10801 RED CIRCLE DR CITY: MINNETONKA STATE: MN ZIP: 55343 BUSINESS PHONE: 6129308201 MAIL ADDRESS: STREET 1: 10801 RED CIRCLE DR CITY: MINNETONKA STATE: MN ZIP: 55343 SC 13G 1 SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 SCHEDULE 13G Under the Securities Exchange Act of 1934 (Amendment No. )* Insignia System, Inc. (Name of Issuer) Common Stock, Par Value $0.01 (Title of Class of Securities) 45765Y 10 5 (CUSIP Number) *The remainder of this cover page shall be filled out for a reporting person's initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. The information required in the remainder of this cover page shall not be deemed to be "filed" for the purpose of Section 18 of the Securities Exchange Act of 1934 ("Act") or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes). (Continued on following page(s)) Page 1 of 5 Pages CUSIP No. 917273 10 4 13G Page 2 of 5 Pages 1. NAME OF REPORTING PERSON G.L. Hoffman SS OR IRS IDENTIFICATION NO. OF ABOVE PERSON ###-##-#### 2. CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP* (a) [ ] (b) [ ] 3. SEC USE ONLY 4. CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. NUMBER 5. SOLE VOTING POWER 1,020,134 OF SHARES BENEFICIALLY 6. SHARED VOTING POWER 0 OWNED BY EACH REPORTING 7. SOLE DISPOSITIVE POWER 1,020,134 PERSON WITH 8. SHARED DISPOSITIVE POWER 0 9. AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 1,020,134 10. CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES* [ ] 11. PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 14.8% 12. TYPE OF REPORTING PERSON* IN *SEE INSTRUCTIONS BEFORE FILLING OUT! Item 1(a) Name of Issuer Insignia Systems, Inc. Item 1(b) Address of Issuer's Principal Executive Offices: 10801 Red Circle Drive Minnetonka, MN 55343 Item 2(a) Name of Person Filing: G.L. Hoffman Item 2(b) Address of Principal Business Office or, if none, residence: 10801 Red Circle Drive Minnetonka, MN 55343 Item 2(c) Citizenship U.S.A. Item 2(d) Title of Class of Securities Common Stock, $0.01 par value per share Item 2(e) CUSIP No. 45765Y 10 5 Item 3 Not Applicable. Item 4 Ownership As of December 31, 1997, the ownership of Mr. Hoffman was as follows: Item 4(a) Amount Beneficially Owned - 1,020,134 Item 4(b) Percent of Class - 14.8% Page 3 of 5 Pages Item 4(c) Of the shares owned by Mr. Hoffman, Mr. Hoffman has the power to vote or dispose of the shares as follows: (i) Sole power to vote or direct the vote - 1,020,134 (ii) Shared power to vote or to direct the vote - 0 (iii) Sole power to dispose or to direct the disposition of - 1,020,134 (iv) Shared power to dispose or to direct the disposition of - 0 Of the shares listed above as beneficially owned by Mr. Hoffman, 974,300 are outstanding shares which are directly owned and 45,834 are shares deemed owned pursuant to options or warrants owned as of December 31, 1997 which were exercisable within 60 days. Item 5 Ownership of Five Percent or Less of a Class: Not Applicable. Item 6 Ownership of More than Five Percent on Behalf of Another Person: Not Applicable. Item 7 Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company: Not Applicable. Item 8 Identification and Classification of Members of the Group: Not Applicable. Item 9 Notice of Dissolution of Group: Not Applicable. Item 10 Certification: Not Applicable. Page 4 of 5 Pages SIGNATURE After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct. /s/ G. L. Hoffman _________________________________ G. L. Hoffman February 10, 1998 Page 5 of 5 Pages -----END PRIVACY-ENHANCED MESSAGE-----