0001654954-21-010758.txt : 20211004 0001654954-21-010758.hdr.sgml : 20211004 20211004163151 ACCESSION NUMBER: 0001654954-21-010758 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210930 FILED AS OF DATE: 20211004 DATE AS OF CHANGE: 20211004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Unterseher Loren A CENTRAL INDEX KEY: 0001741560 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13471 FILM NUMBER: 211303255 MAIL ADDRESS: STREET 1: 8799 BROOKLYN BLVD CITY: MINNEAPOLIS STATE: MN ZIP: 55445 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INSIGNIA SYSTEMS INC/MN CENTRAL INDEX KEY: 0000875355 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-ADVERTISING [7310] IRS NUMBER: 411656308 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 212 THIRD AVE N STREET 2: STE 356 CITY: MINNEAPOLIS STATE: MN ZIP: 55401 BUSINESS PHONE: 7633926200 MAIL ADDRESS: STREET 1: 212 THIRD AVE N STREET 2: STE 356 CITY: MINNEAPOLIS STATE: MN ZIP: 55401 4 1 section16.xml FORM 4 X0306 4 2021-09-30 0000875355 INSIGNIA SYSTEMS INC/MN ISIG 0001741560 Unterseher Loren A 212 THIRD AVE N, STE 356 MINNEAPOLIS MN 55401 true false false Common Stock Equivalent 2021-09-30 4 A false 734 7.49 A Common Stock 734 5252 D Each Common Stock Equivalent is the economic equivalent of one share of Insignia Systems, Inc. common stock. The Common Stock Equivalents were acquired pursuant to the Insignia Systems, Inc. Deferred Compensation Plan for Directors (the "Plan"), whereby Directors may elect to defer receipt of cash fees. The Common Stock Equivalents will be settled (i) in Insignia Systems, Inc. common stock upon a separation from service with the Company or (ii) in cash upon an earlier change in control of the Company. /s/ Joyce E. Kobilka, Attorney-in-Fact 2021-10-04