-----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, GcWErh5b6f/RdrVLCnNh+h/3W1df7zYopT6bNeypWT+E+F/LccjIeHXAznGZaKmy TDzQJa6h2p6sLrk3wAJHPQ== 0000897101-02-000100.txt : 20020414 0000897101-02-000100.hdr.sgml : 20020414 ACCESSION NUMBER: 0000897101-02-000100 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20020214 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/A SEC ACT: 1934 Act SEC FILE NUMBER: 005-41912 FILM NUMBER: 02548009 BUSINESS ADDRESS: STREET 1: 5025 CHESHIRE LANE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55446 BUSINESS PHONE: 7633926200 MAIL ADDRESS: STREET 1: 5025 CHESHIRE LANE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55346 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/A 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/A 1 isi-hoffman020809_13ga.txt INSIGNIA SYSTEMS, INC. (HOFFMAN) SCHEDULE 13G/A SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 SCHEDULE 13G/A (AMENDMENT NO. 2) UNDER THE SECURITIES EXCHANGE ACT OF 1934 Insignia Systems, Inc. ----------------------------------------- (Name of Issuer) Common Stock ----------------------------------------- (Title of Class of Securities) 45765Y-10-5 ----------------------------------------- (CUSIP Number) ------------------------------------------------- (Date of Event Which Requires Filing of this Statement Check the appropriate box to designate the rule pursuant to which this Schedule is filed: o Rule 13d-1(b) o Rule 13d-1(c) : Rule 13d-1(d) *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. 45765Y 10 5 13G PAGE _2_ OF _5_ PAGES ----------- - -------------------------------------------------------------------------------- 1 NAME OF REPORTING PERSON: G. L. Hoffman I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (entities only): - -------------------------------------------------------------------------------- 2 CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS) (a) 9 (b) 9 - -------------------------------------------------------------------------------- 3 SEC USE ONLY - -------------------------------------------------------------------------------- 4 CITIZENSHIP OR PLACE OF ORGANIZATION U.S.A. - -------------------------------------------------------------------------------- 5 SOLE VOTING POWER NUMBER OF 712,500 SHARES ------------------------------------------------- 6 SHARED VOTING POWER BENEFICIALLY 11,314 OWNED BY ------------------------------------------------- 7 SOLE DISPOSITIVE POWER EACH 712,500 REPORTING ------------------------------------------------- 8 SHARED DISPOSITIVE POWER PERSON 11,314 WITH: - -------------------------------------------------------------------------------- 9 AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON 712,500 - -------------------------------------------------------------------------------- 10 CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS) 9 - -------------------------------------------------------------------------------- 11 PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9 6.8% - -------------------------------------------------------------------------------- 12 TYPE OF REPORTING PERSON (SEE INSTRUCTIONS) IN - -------------------------------------------------------------------------------- PAGE _3_ OF _5_ PAGES ITEM 1. (a) Name of Issuer -------------- The name of the issuer is Insignia Systems, Inc. (b) Address of Issuer's Principal Executive Offices ----------------------------------------------- The address of the principal executive offices of the Issuer is 5025 Cheshire Lane North, Plymouth, Minnesota 55446. ITEM 2. (a) Name of Person Filing. --------------------- This statement is being filed by G. L. Hoffman. (b) Address of Principal Business Office or, if none, Residence. ------------------------------------------------------------ The principal address of the Reporting Person is 480 Deborah Drive, Orono, Minnesota 55359. (c) Citizenship. ----------- U.S.A. (d) Title of Class of Securities. ---------------------------- Common Stock (e) CUSIP Number. ------------ 45765Y 10 5 ITEM 3. IF THIS STATEMENT IS FILED PURSUANT TO RULE 13d-1(b), OR 13d-2(b) OR -------------------------------------------------------------------- (c), CHECK WHETHER THE PERSON FILING IS A: ------------------------------------------ (a) o Broker or dealer registered under Section 15 of the Act (b) o Bank as defined in Section 3(a)(6) of the Act (c) o Insurance company as defined in Section 3(a)(19) of the Act (d) o Investment company registered under Section 8 of the Investment Company Act of 1940 (e) o An investment adviser in accordance with ss. 240.13d-1(b)(1)(ii)(E) (f) o An employee benefit plan or endowment fund in accordance with ss. 240.13d-1(b)(1)(ii)(F) PAGE _4_ OF _5_ PAGES (g) o A parent holding company or control person, in accordance with ss. 240.13d-1(b)(1)(ii)(G) (h) o A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (i) o A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (j) o Group, in accordance with ss. 240.13d-1(b)(1)(ii)(J) ITEM 4. OWNERSHIP As of February 14, 2002, the beneficial ownership of shares of the Reporting Person was as follows: (a) Amount beneficially owned:712,500 (b) Percent of Class: 6.8% (c) Of the shares beneficially owned by the Reporting Person, it has the power to vote or dispose of the shares as follows: (i) Sole power to vote or direct the vote: 712,500 (ii) Shared power to vote or direct the vote: 11,314 (iii) Sole power to dispose or direct the disposition of: 712,500 (iv) Shared power to dispose or direct the disposition of: 11,314 Of the shares issued above as beneficially owned, (i) 707,500 shares are directly owned by Mr. Hoffman and 5,000 shares are deemed owned pursuant to options exercisable within sixty days of December 31, 2001, and (ii)11,314 shares of Insignia Systems, Inc. common stock are owned by the issue of Mr. Hoffman, who currently reside in the reporting person's residence. 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 REPORTED ON BY THE PARENT HOLDING COMPANY. --------------------------------------------------- Not Applicable PAGE _5_ OF _5_ PAGES ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP --------------------------------------------------------- Not Applicable ITEM 9. NOTICE OF DISSOLUTION OF GROUP ------------------------------ Not Applicable ITEM 10. CERTIFICATION ------------- (a) Not Applicable (b) By signing below I certify that, to the best of my knowledge and belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of securities and were not acquired and are not held in connection with or as a participant in any transaction having that purpose or effect. 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. Date: February 14, 2002 /s/ G. L. Hoffman ----------------- G. L. Hoffman -----END PRIVACY-ENHANCED MESSAGE-----