-----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, BhqpKk0NRloKFuMUJoPshq3+1EyE8p0/WNqRvz9307oDGVVBOWfER5xTGJ/l0mtU tjmLFeKH090OLNN+9fYOFw== 0000875355-08-000017.txt : 20080523 0000875355-08-000017.hdr.sgml : 20080523 20080523134646 ACCESSION NUMBER: 0000875355-08-000017 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20080521 FILED AS OF DATE: 20080523 DATE AS OF CHANGE: 20080523 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: Derycz Peter CENTRAL INDEX KEY: 0001351848 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 08857516 BUSINESS ADDRESS: BUSINESS PHONE: 310-395-7114 MAIL ADDRESS: STREET 1: 207 10TH STREET CITY: SANTA MONICA STATE: CA ZIP: 90402 4 1 edgardoc.xml PRIMARY DOCUMENT X0202 4 2008-05-21 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001351848 Derycz Peter 6470 SYCAMORE COURT NORTH MAPLE GROVE MN 55369 1 0 0 0 Incentive Stock Option (right to buy) 1.92 2008-05-21 4 A 0 5000 1.92 A 2008-05-21 2018-05-21 Common Stock 5000 5000 D /s/ Peter Derycz 2008-05-23 -----END PRIVACY-ENHANCED MESSAGE-----