-----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, Ila/1z6ycui73M/NFIpf0PPpkmNRwWh2Y73/ptzMs8rlTZ0iqG/0C/FbvGDB4c/N D6BCWOyNgetWaK9CrGZWWA== 0000897101-09-000235.txt : 20090204 0000897101-09-000235.hdr.sgml : 20090204 20090204110212 ACCESSION NUMBER: 0000897101-09-000235 CONFORMED SUBMISSION TYPE: SC 13G/A PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20090204 DATE AS OF CHANGE: 20090204 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INSIGNIA SYSTEMS INC/MN CENTRAL INDEX KEY: 0000875355 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS MANUFACTURING INDUSTRIES [3990] 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: 005-43578 FILM NUMBER: 09567224 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: RAMSDELL W ROBERT CENTRAL INDEX KEY: 0000897480 FILING VALUES: FORM TYPE: SC 13G/A BUSINESS ADDRESS: STREET 1: 474 PASEO MIRAMAR CITY: PACIFIC PALISADES STATE: CA ZIP: 90272 BUSINESS PHONE: 3104595617 MAIL ADDRESS: STREET 1: 474 PASEO MIRAMAR CITY: PACIFIC PALASADES STATE: CA ZIP: 90272 SC 13G/A 1 insignia090523_13ga.htm AMENDMENT NO. 9 TO SC 13G/A Insignia Systems, Inc. SC 13G/A

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

SCHEDULE 13G/A

 

(AMENDMENT NO. 9)

 

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)

 

December 31, 2008

 

(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)

x Rule 13d-1(c)

o 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))

 

 




CUSIP NO. 45765Y 10 5

13G

PAGE 2 OF 5 PAGES

 

1

NAME OF REPORTING PERSON: W. Robert Ramsdell

 

2

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

(A) o

(B) o

 

3

SEC USE ONLY

 

4

CITIZENSHIP OR PLACE OF ORGANIZATION

 

U.S.A.

NUMBER OF

SHARES

BENEFICIALLY

OWNED BY

EACH

REPORTING

PERSON

WITH:

5

SOLE VOTING POWER

 

 

 

682,883

6

SHARED VOTING POWER

 

 

 

0

7

SOLE DISPOSITIVE POWER

 

 

 

682,883

8

SHARED DISPOSITIVE POWER

 

 

 

0

 

 

 

 

 

9

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

682,883

10

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES

(SEE INSTRUCTIONS)

 

o

11

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW 9

 

4.5%

12

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

 

IN

 

 

Page 2 of 5 Pages




CUSIP NO. 45765Y 10 5

13G

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 8799 Brooklyn Blvd., Minneapolis, MN 55445.

 

ITEM 2.

 

(a)

Name of Person Filing.     This statement is being filed by W. Robert Ramsdell

 

(b)

Address of Principal Business Office or, if none, Residence.      The principal address of the Reporting Person is 474 Paseo Miramar, Pacific Palisades, CA 90272.

 

(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)

 

(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)

 

Page 3 of 5 Pages




CUSIP NO. 45765Y 10 5

13G

PAGE 4 OF 5 PAGES

 

ITEM 4. OWNERSHIP

 

As of December 31, 2008, the beneficial ownership of shares of the Reporting Person was as follows:

 

(a)

Amount beneficially owned: 682,883

 

(b)

Percent of Class: 4.5%

 

(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:  

682,883

(ii)

Shared power to vote or direct the vote:

0

(iii)

Sole power to dispose or direct the disposition of:

682,883

(iv)

Shared power to dispose or direct the disposition of:

0

 

Of the shares listed above as beneficially owned, 667,883 shares are directly owned by Mr. Ramsdell and 15,000 shares are deemed owned pursuant to options exercisable within sixty days of December 31, 2008.

 

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 OR CONTROL PERSON.

 

Not Applicable

 

ITEM 8. IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP

 

Not Applicable

 

ITEM 9. NOTICE OF DISSOLUTION OF GROUP

 

Not Applicable

 

Page 4 of 5 Pages




CUSIP NO. 45765Y 10 5

13G

PAGE 5 OF 5 PAGES

 

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 4, 2009

/s/ W. Robert Ramsdell

 

W. Robert Ramsdell

 

 









Page 5 of 5 Pages



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