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Ownership Document
|
| Schema Version: X0306 |
| Document Type: 4 |
| Period of Report: 3/31/21 |
| Issuer: |
| Issuer CIK: 875355 |
| Issuer Name: INSIGNIA SYSTEMS INC/MN |
| Issuer Trading Symbol: ISIG |
| Reporting Owner: |
| Reporting Owner ID: |
| | Owner CIK: 1741560 |
| | Owner Name: Unterseher Loren A |
| Reporting Owner Address: |
| | Owner Street 1: 8799 BROOKLYN BLVD |
| | Owner Street 2: |
| | Owner City: MINNEAPOLIS |
| | Owner State: MN |
| | Owner ZIP Code: |
| | Owner State Description: |
| Reporting Owner Relationship: |
| | Is Director? Yes |
| | Is Officer? No |
| | Is Ten Percent Owner? No |
| Derivative Table: |
| Derivative Transaction: |
| | Security Title: |
| | | Value: Common Stock Equivalent |
| | Conversion or Exercise Price: |
| | | Footnote ID: F1 |
| | Transaction Date: |
| | | Value: 3/31/21 |
| | Transaction Coding: |
| | | Transaction Form Type: 4 |
| | | Transaction Code: A |
| | | Equity Swap Involved? No |
| | Transaction Amounts: |
| | | Transaction Shares: |
| Value: 936 |
| | | Transaction Price Per Share: |
| Value: 5.87 |
| | | Transaction Acquired-Disposed Code: |
| Value: A |
| | Exercise Date: |
| | | Footnote ID: F1 |
| | Expiration Date: |
| | | Footnote ID: F1 |
| | Underlying Security: |
| | | Underlying Security Title: |
| Value: Common Stock |
| | | Underlying Security Shares: |
| Value: 936 |
| | Post-Transaction Amounts: |
| | | Shares Owned Following Transaction: |
| Value: 3,856 |
| | Ownership Nature: |
| | | Direct or Indirect Ownership: |
| Value: D |
| Footnotes: |
| Footnote - F1: 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. |
| Owner Signature: |
| Signature Name: /s/ Joyce E. Kobilka, Attorney-in-Fact |
| Signature Date: 4/2/21 |
