Blueprint


UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
 
Washington, D.C. 20549
 
______________________
 
FORM SD
_________________
 
 
Specialized Disclosure Report
 
 
INSIGNIA SYSTEMS, INC.
(Exact name of registrant as specified in its charter)
 
 
 
 
Minnesota
1-13471
41-1656308
(State or other jurisdiction of incorporation or organization)
(Commission File Number)
 
(IRS Employer identification No.)
 
8799 Brooklyn Blvd., Minneapolis, MN 55445
(Address of principal executive offices; zip code)
 

Jeffrey A. Jagerson, Chief Financial Officer       
 763-392-6200
(Name and telephone number, including area code, of the person to contact in connection with this report.)
 
 
 
Check the appropriate box to indicate the rule pursuant to which this form is being filed, and provide the period to which the information in this form applies:
 
Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2017.
 

 

 
 
 
 
Section 1 - Conflict Minerals Disclosure
 
Item 1.01 Conflict Minerals Disclosure and Report
 
Conflict Minerals Disclosure
 
This Form SD of Insignia Systems, Inc. (the “Company”) is filed pursuant to Rule 13p-1 promulgated under the Securities and Exchange Act of 1934, as amended, for the reporting period January 1, 2017 to December 31, 2017.
 
A copy of the Company’s Conflict Minerals Report is provided as Exhibit 1.01 to this Form SD, and is publicly available at www.insigniasystems.com.
 
 
Item 1.02 Exhibit
 
As specified in Section 2, Item 2.01 of this Form SD, the Company is hereby filing its Conflict Minerals Report as Exhibit 1.01 to this report.
 
 
 
Section 2 – Exhibits
 
Item 2.01 Exhibits
 
The following exhibit is included herewith:
 
 
Exhibit Number
Description
 
1.01
 
 
 
 
 
 
SIGNATURES
 
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
 
 
 
INSIGNIA SYSTEMS, INC.
 
 
 
 
 
 
 
 
 
Dated: May 24, 2018
By  :
/s/ Jeffrey A. Jagerson
 
 
 
Jeffrey A. Jagerson
 
 
 
Chief Financial Officer and Treasurer
 
 
 
(on behalf of registrant)
 
 
 
 
 
 
 
EXHIBIT INDEX
 
 
Exhibit Number
Description
 
1.01