-----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, Hv9Lh2pxpl7/uXdt+9IOgqBA42pOTSlq5AGinapoCZyNTQXIJzoqz+zEVp0YFnno Hf365htwpIgHSi459fZw6w== /in/edgar/work/20000908/0000897101-00-000892/0000897101-00-000892.txt : 20000922 0000897101-00-000892.hdr.sgml : 20000922 ACCESSION NUMBER: 0000897101-00-000892 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20000804 FILED AS OF DATE: 20000908 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: INSIGNIA SYSTEMS INC/MN CENTRAL INDEX KEY: 0000875355 STANDARD INDUSTRIAL CLASSIFICATION: [5040 ] IRS NUMBER: 411656308 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: SEC FILE NUMBER: 001-13471 FILM NUMBER: 718885 BUSINESS ADDRESS: STREET 1: 10801 RED CIRCLE DR CITY: MINNETONKA STATE: MN ZIP: 55343 BUSINESS PHONE: 6129308200 MAIL ADDRESS: STREET 1: 10801 RED CIRCLE DRIVE STREET 2: 10801 RED CIRCLE DRIVE CITY: MINNETONKA STATE: MN ZIP: 55343 COMPANY DATA: COMPANY CONFORMED NAME: HOFFMAN G L CENTRAL INDEX KEY: 0000904037 STANDARD INDUSTRIAL CLASSIFICATION: [0000 ]DIRECTOR STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 BUSINESS ADDRESS: STREET 1: 10801 RED CIRCLE DR CITY: MINNETONKA STATE: MN ZIP: 55343 BUSINESS PHONE: 6129308201 MAIL ADDRESS: STREET 1: 10801 RED CIRCLE DR CITY: MINNETONKA STATE: MN ZIP: 55343 4 1 0001.txt FORM 4 -------------------------------- OMB APPROVAL OMB Number 3235-0287 |_| CHECK THIS BOX IF NO LONGER Expires: December 31, 2001 SUBJECT TO SECTION 16. FORM 4 Estimated average burden OR FORM 5 OBLIGATIONS MAY hours per response...........0.5 CONTINUE. SEE INSTRUCTION 1(b). -------------------------------- U.S. SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940 (Print or Type Responses) - -------------------------------------------------------------------------------- 1. Name and Address of Reporting Person* Hoffman, G. L. - ----------------------------------------------------- (Last) (First) (Middle) 5025 Cheshire Lane North - ----------------------------------------------------- (Street) Plymouth, MN 55446 - ----------------------------------------------------- (City) (State) (Zip) - -------------------------------------------------------------------------------- 2. Issuer Name and Ticker or Trading Symbol Insignia Systems, Inc. (ISIG) - -------------------------------------------------------------------------------- 3. IRS or Social Security Number of Reporting Person (Voluntary) - -------------------------------------------------------------------------------- 4. Statement for Month/Year August 2000 - -------------------------------------------------------------------------------- 5. If Amendment, Date of Original (Month/Year) - -------------------------------------------------------------------------------- 6. Relationship of Reporting Person to Issuer (Check all applicable) [X] Director [X] Officer (give title below) [ ] 10% Owner [ ] Other (specify below) Chairman - -------------------------------------------------------------------------------- 7. Individual or Joint/Group Filing (check applicable line) [X] Form filed by One Reporting Person [ ] Form filed by More than One Reporting Person
TABLE 1 -- NON-DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED - --------------- ---------------- --------------------- ---------------------------- ------------------ --------------- ------------- 1. Title of 2. Transaction 3. Transaction Code 4. Securities Acquired (A) 5. Amount of 6. Ownership 7. Nature of Security Date (Instr. 8) or Disposed of (D) Securities Form: Direct Indirect (Instr. 3) (Month/ (Instr. 3, 4 and 5) Beneficially (D) or Beneficial Day/ Owned at Indirect (I) Ownership Year) End of Month (Instr. 4) (Instr. 4) (Instr. 3 and 4) --------- --------- -------- ----------- ------ Code V Amount (A) or (D) Price - --------------- ---------------- --------------------- ---------------------------- ------------------ --------------- ------------- Common Stock 8/4/00 S 100,000 D $5.64 757,500 D - --------------- ---------------- --------------------- ---------------------------- ------------------ --------------- ------------- - --------------- ---------------- --------------------- ---------------------------- ------------------ --------------- ------------- - --------------- ---------------- --------------------- ---------------------------- ------------------ --------------- ------------- - --------------- ---------------- --------------------- ---------------------------- ------------------ --------------- -------------
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. *If the form is filed by more than one reporting person, SEE Instruction 4(b)(v). POTENTIAL PERSONS WHO ARE TO RESPOND TO THE COLLECTION OF INFORMATION CONTAINED IN THIS FORM ARE NOT REQUIRED TO RESPOND UNLESS THE FORM DISPLAYS A CURRENTLY VALID OMB CONTROL NUMBER. (Over) SEC 1474 (3-99) FORM 4 (CONTINUED)
TABLE II -- DERIVATIVE SECURITIES ACQUIRED, DISPOSED OF, OR BENEFICIALLY OWNED (e.g., PUTS, CALLS, WARRANTS, OPTIONS, CONVERTIBLE SECURITIES) - ----------- ---------- --------- --------- ------------- --------------- ------------ ----------- ----------- ---------- ----------- 1.Title of 2.Conver- 3.Trans- 4.Trans- 5.Number of 6.Date 7.Title and 8.Price of 9.Number of 10.Owner- 11.Nature Deriv- sion or action action Derivative Exercisable Amount of Deriv- Deriv- ship of ative Exercise Date Code Securities and Underlying ative ative Form of Indirect Security Price of (Month/ (Instr. Acquired Expiration Securities Security Secur- Deriva- Bene- (Instr. Deriv- Day/ 8) (A) or Date (Instr. 3 (Instr. ities tive ficial 3) ative Year) Disposed (Month/Day/ and 4) 5) Benefi- Security: Owner- Security of (D) Year) cially Direct ship (Instr. 3, Owned at (D) or (Instr. 4, and 5) End of Indirect 4) ------- ------- ----- ------ Month (I) Date Expi- Amount (Instr. (Instr. Exerci- ration Title or 4) 4) sable Date Number of Shares ---- ---- ------ ----- Code V (A) (D) - ----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- ----------- - ----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- ----------- - ----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- ----------- - ----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- ----------- - ----------- ---------- --------- ---- ---- ------ ------ --------------- ------------ ----------- ----------- ---------- -----------
EXPLANATION OF RESPONSES: *The Company offered a program to reduce the price of the warrant share from $2.125 to $1.00 from August 1, 1999 to Sept. 30, 1999. /s/ G. L. Hoffman 9/7/00 ---------------------------------- --------------- Date **Intentional misstatements or omissions of facts constitute Federal Criminal Violations. SEE 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, SEE Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. Page 2
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