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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

FORM 3

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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(h) of the Investment Company Act of 1940


1. Name and Address of Reporting Person* 2. Date of Event Requiring Statement
(Month/Day/Year)
3. I.R.S. Identification Number of Reporting
Person, if an entity (voluntary)
      Kramer           Donald           J    12/04/02    
 
 (Last)  (First)  (Middle)

4.

Issuer Name and Ticker or Trading Symbol

5.

Relationship of Reporting Person(s)
to Issuer (Check All Applicable)
   7841 CocoBay Court    Insignia Systems, Inc. (ISIG)   x  Director       o  10% Owner
 
 
  o  Officer (give title below)
   (Street)       o  Other (specify below)
   

Naples                FL              34108
6. If Amendment, Date of Original
(Month/Day/Year)
   
 
(City)  (State)  (Zip)
    7. Individual or Joint/Group Filing
(Check One)
     
  x  Form filed by One Reporting Person
          o  Form filed by More then One Reporting Person

*   If the form is filed by more than one reporting person, see instruction 5(b)(v).
 

Table I — Non-Derivative Securities Beneficially Owned

1. Title of Security
(Instr. 4)
2. Amount of Securities
Beneficially Owned
(Instr. 4)
3. Ownership Form:
Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)


 

Table II — Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security
(Instr. 4)
2. Date Exercisable and
Expiration Date
(Month/Day/Year)
3. Title and Amount of Securities Underlying
Derivative Security
(Instr. 4)
4. Conversion or
Exercise Price of
Derivative Security
5. Ownership Form of
Derivative Security:
Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect
Beneficial Ownership
(Instr. 5
  Date
Exercisable  
Expiration
Date
  Title        Amount or
Number of
Shares
           

Non-Qualified S * 12/04/12   Common Stock 10,000   $10.44   D  

Explanation of Responses:
*5,000 shares on 12/4/03 and 5,000 shares on 12/4/04



/s/ Donald J. Kramer    12/11/02

**Signature of Reporting Person
 
Date
 

Power of Attorney: 
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

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.