-----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, CP0gfFy69+Fe1VDAs8mTefL2k8bjuu7TuTyoe6gA2KHcz90KuvTsMX/lwjwW8NZH mqFurkd77waOP6DR1VN9Ng== 0000875355-04-000017.txt : 20040524 0000875355-04-000017.hdr.sgml : 20040524 20040524154951 ACCESSION NUMBER: 0000875355-04-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040520 FILED AS OF DATE: 20040524 ISSUER: 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 BUSINESS ADDRESS: STREET 1: 6470 SYCAMORE COURT NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 BUSINESS PHONE: 7633926200 MAIL ADDRESS: STREET 1: 6470 SYCAMORE COURT NORTH CITY: MAPLE GROVE STATE: MN ZIP: 55369 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DRILL SCOTT CENTRAL INDEX KEY: 0001122091 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 04827011 BUSINESS ADDRESS: STREET 1: 5025 CHESHIRE LN NORTH CITY: PLYMOUTH STATE: MN ZIP: 55446 BUSINESS PHONE: 7633926203 MAIL ADDRESS: STREET 1: 5025 CHESHIRE LN NORTH CITY: PLYMOUTH STATE: MN ZIP: 55446 4 1 dri8.xml X0202 4 2004-05-20 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001122091 DRILL SCOTT 6470 SYCAMORE COURT NORTH MAPLE GROVE MN 55369 1 1 0 0 President & CEO Stock Option (Right to Buy) 1.31 2004-05-20 4 A 0 20000 0 A 2005-05-20 2014-05-20 Common Stock 20000.00 20000.00 D Stock Option (Right to Buy) 1.31 2004-05-20 4 A 0 40000 0 A 2006-05-20 2014-05-20 Common Stock 40000.00 40000.00 D 20,000 shares exercisable on May 20, 2006 and 20,000 shares on May 20, 2007. By: /s/ Scott F. Drill 2004-05-24 -----END PRIVACY-ENHANCED MESSAGE-----