-----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, HHMzfZh89SgrNNCozn/KPwZPPVwkI6dQ6tJdrl5Aq061yjhZ/E8gihXG9SaTJSyO FHIXDUX5GI5W6T5wJtgukw== 0000897101-03-000463.txt : 20030522 0000897101-03-000463.hdr.sgml : 20030522 20030522140648 ACCESSION NUMBER: 0000897101-03-000463 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030520 FILED AS OF DATE: 20030522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELEN ERWIN A CENTRAL INDEX KEY: 0001184350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 03716024 BUSINESS ADDRESS: STREET 1: 1921 HUMBOLDT AS CITY: MINNEAPOLIS STATE: MN ZIP: 55403 BUSINESS PHONE: 6123767322 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 4 1 kelen_isig.xml PRIMARY DOCUMENT X0101 4 2003-05-20 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001184350 KELEN ERWIN A 1 Common Stock 2003-05-20 4 M 0 5000 1.75 A 40000 D Non-Qualified Option 1.750 2003-05-20 4 M 0 5000 1.750 D 1998-05-21 2003-05-21 CS 5000 105000 D Non-Qualified Option 5.800 2003-05-20 4 A 0 5000 5.800 A 2003-05-20 2013-05-20 CS 5000 105000 D * 30,000 shares indirectly held in Childrens' Trust. /s/ Erwin A. Kelen 2003-05-20 -----END PRIVACY-ENHANCED MESSAGE-----