-----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, O6hVlet++2jBzu2PD70keOXAIE1yGqtLVDczSjO7vz6T+5cwhyT5PUEBAZcch403 8vKGgv0aKDx/1O5dFpZgFw== 0000897101-03-001701.txt : 20031230 0000897101-03-001701.hdr.sgml : 20031230 20031230135352 ACCESSION NUMBER: 0000897101-03-001701 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031226 FILED AS OF DATE: 20031230 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: 031077286 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 isig035507drill_4ex.xml X0201 4 2003-12-26 0 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001122091 DRILL SCOTT 6470 SYCAMORE COURT NORTH MAPLE GROVE MN 55369 1 1 0 0 President and CEO Common Stock 2003-12-26 5 G 0 3750 0 D 173820 D Common Stock 2003-12-26 5 G 0 1600 0 D 172220 D Common Stock 2003-12-26 5 J 0 78400 0 D 93820 D Common Stock 80000 I By Family Limited Partnership Gifts of 800 shares to each of two children. Transfer of 78400 shares to Family Limited Partnership in connection with transfers by children of 1600 shares to Family Limited Partnership. Scott F. Drill 2003-12-30 -----END PRIVACY-ENHANCED MESSAGE-----