-----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, DtsQXufu8C0+j9ALvguX8kzCLDwuhnONBE+0yd8oDx4pyPj6iCx1PgUuRZMRQn/w 8u6Rf8R3uVr1a8QTC4mTDQ== 0000875355-05-000017.txt : 20050523 0000875355-05-000017.hdr.sgml : 20050523 20050523163219 ACCESSION NUMBER: 0000875355-05-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050518 FILED AS OF DATE: 20050523 DATE AS OF CHANGE: 20050523 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: VARS GARY CENTRAL INDEX KEY: 0001134217 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 05851610 BUSINESS ADDRESS: BUSINESS PHONE: 7633926229 MAIL ADDRESS: STREET 1: C/O INSIGNIA SYSTEMS INC STREET 2: 5025 CHESHIRE LANE NORTH CITY: PLYMOUTH STATE: MN ZIP: 55446 4 1 var26.xml X0202 4 2005-05-18 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001134217 VARS GARY 6470 SYCAMORE COURT NORTH MAPLE GROVE MN 55369 1 1 0 0 Pres., POPS Division Stock Option (Right to Buy) 0.9600 2005-05-18 4 A 0 73302 0.9600 A 2006-05-18 2015-05-18 Common Stock 0 73302 D Stock Option (Right to Buy) 0.9600 2005-05-18 4 A 0 26698 0.9600 A 2006-05-18 2015-05-18 Common Stock 0 100000 D 6,635 shares exercisable on May 18, 2006; 33,333 shares exercisable on May 18, 2007 and 3,334 shares exercisable on May 18, 2008. By: /s/Gary L. Vars 2005-05-20 -----END PRIVACY-ENHANCED MESSAGE-----