<SEC-DOCUMENT>0000897101-13-000089.txt : 20130116
<SEC-HEADER>0000897101-13-000089.hdr.sgml : 20130116
<ACCEPTANCE-DATETIME>20130116171106
ACCESSION NUMBER:		0000897101-13-000089
CONFORMED SUBMISSION TYPE:	8-K
PUBLIC DOCUMENT COUNT:		2
CONFORMED PERIOD OF REPORT:	20130110
ITEM INFORMATION:		Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers: Compensatory Arrangements of Certain Officers
ITEM INFORMATION:		Financial Statements and Exhibits
FILED AS OF DATE:		20130116
DATE AS OF CHANGE:		20130116

FILER:

	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

	FILING VALUES:
		FORM TYPE:		8-K
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-13471
		FILM NUMBER:		13532988

	BUSINESS ADDRESS:	
		STREET 1:		8799 BROOKLYN BLVD.
		CITY:			MINNEAPOLIS
		STATE:			MN
		ZIP:			55445
		BUSINESS PHONE:		7633926200

	MAIL ADDRESS:	
		STREET 1:		8799 BROOKLYN BLVD.
		CITY:			MINNEAPOLIS
		STATE:			MN
		ZIP:			55445
</SEC-HEADER>
<DOCUMENT>
<TYPE>8-K
<SEQUENCE>1
<FILENAME>insignia130198_8k.htm
<DESCRIPTION>FORM 8-K DATED JANUARY 10, 2013
<TEXT>
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<P STYLE="font: bold 14pt Times New Roman,serif; margin: 0; text-align: center"></P>

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<P STYLE="font: bold 14pt Times New Roman,serif; margin: 0; text-align: center">UNITED STATES SECURITIES AND EXCHANGE COMMISSION</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: center">Washington, DC 20549-1004</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0; text-align: center">&nbsp;</P>

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<P STYLE="font: bold 20pt Times New Roman,serif; margin: 0; text-align: center">FORM 8-K</P>

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<P STYLE="font: bold 20pt Times New Roman,serif; margin: 0; text-align: center"></P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: bold 12pt Times New Roman,serif; margin: 0; text-align: center">CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d)
OF<BR>
THE SECURITIES EXCHANGE ACT OF 1934</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0; text-align: center">Date of Report (Date of earliest event reported):&nbsp;&nbsp;January
10, 2013</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 20pt Times New Roman,serif; margin: 0; text-align: center"><B></B></P>

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<P STYLE="font: 20pt Times New Roman,serif; margin: 0; text-align: center"><B>INSIGNIA SYSTEMS, INC.</B></P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0; text-align: center">(Exact name of registrant as specified in its chapter)</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0; text-align: center"><B>&nbsp;</B></P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; border-collapse: collapse; font-size: 10pt">
<TR STYLE="vertical-align: bottom">
    <TD STYLE="width: 34%; font: bold 12pt Times New Roman,serif; text-align: center"><B>Minnesota</B></TD>
    <TD STYLE="width: 33%; font: bold 12pt Times New Roman,serif; text-align: center"><B>1-13471</B></TD>
    <TD STYLE="width: 33%; font: bold 12pt Times New Roman,serif; text-align: center"><B>41-1656308</B></TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font-family: Times New Roman,serif; text-align: center"><FONT STYLE="font-size: 10pt">(State or other jurisdiction</FONT><BR>
<FONT STYLE="font-size: 10pt">of incorporation)</FONT></TD>
    <TD STYLE="font-family: Times New Roman,serif; text-align: center"><FONT STYLE="font-size: 10pt">(Commission </FONT><BR>
<FONT STYLE="font-size: 10pt">File Number)</FONT></TD>
    <TD STYLE="font-family: Times New Roman,serif; text-align: center"><FONT STYLE="font-size: 10pt">(IRS Employer </FONT><BR>
<FONT STYLE="font-size: 10pt">Identification No.)</FONT></TD></TR>
<TR STYLE="vertical-align: bottom">
    <TD STYLE="font-family: Times New Roman,serif; text-align: center">&nbsp;</TD>
    <TD STYLE="font-family: Times New Roman,serif; text-align: center">&nbsp;</TD>
    <TD STYLE="font-family: Times New Roman,serif; text-align: center">&nbsp;</TD></TR>
<TR STYLE="vertical-align: bottom">
    <TD STYLE="font-family: Times New Roman,serif; text-align: center">&nbsp;</TD>
    <TD NOWRAP STYLE="font-family: Times New Roman,serif; text-align: center"><FONT STYLE="font-size: 12pt"><B>8799 Brooklyn Blvd., Minneapolis,
    Minnesota</B></FONT></TD>
    <TD STYLE="font-family: Times New Roman,serif; text-align: center"><FONT STYLE="font-size: 12pt"><B>55445&nbsp;</B></FONT></TD></TR>
<TR STYLE="vertical-align: bottom">
    <TD STYLE="font-family: Times New Roman,serif; text-align: center">&nbsp;</TD>
    <TD STYLE="font-family: Times New Roman,serif; text-align: center"><FONT STYLE="font-size: 10pt">(Address of principal executive offices)</FONT></TD>
    <TD STYLE="font-family: Times New Roman,serif; text-align: center">&nbsp;<FONT STYLE="font-size: 10pt">(Zip Code)</TD></TR>
</TABLE>
<P STYLE="font: 12pt Times New Roman,serif; margin: 0; text-align: center"><B>&nbsp;</B></P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0; text-align: center">Registrant&rsquo;s telephone number, including area
code&nbsp;&nbsp;<B>(763) 392-6200</B></P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" ALIGN="CENTER" STYLE="width: 50%; border-collapse: collapse">
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 100%; font: 11pt Calibri,sans-serif; text-align: center; border-bottom: Black 1pt solid">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 12pt Times New Roman,serif; text-align: center"><FONT STYLE="font-size: 10pt">(Former name or former address, if changed since last report)</FONT></TD></TR>
</TABLE>
<P STYLE="font: bold 12pt Times New Roman,serif; margin: 0; text-align: justify">&nbsp;</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0"></P>

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<P STYLE="font: 12pt Times New Roman,serif; margin: 0">Check the appropriate box below if the Form 8-K filing is intended to simultaneously
satisfy the filing obligation of the registrant under any of the following provisions:</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; border-collapse: collapse">
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 3%; font: 12pt Times New Roman,serif">&nbsp;</TD>
    <TD STYLE="width: 3%; font: 12pt Times New Roman,serif"><FONT STYLE="font-family: MS Mincho">&#9744;</FONT></TD>
    <TD STYLE="width: 94%; font: 12pt Times New Roman,serif">Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 12pt Times New Roman,serif">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 12pt Times New Roman,serif">&nbsp;</TD>
    <TD STYLE="font: 12pt Times New Roman,serif"><FONT STYLE="font-family: MS Mincho">&#9744;</FONT></TD>
    <TD STYLE="font: 12pt Times New Roman,serif">Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 12pt Times New Roman,serif">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 12pt Times New Roman,serif">&nbsp;</TD>
    <TD STYLE="font: 12pt Times New Roman,serif"><FONT STYLE="font-family: MS Mincho">&#9744;</FONT></TD>
    <TD STYLE="font: 12pt Times New Roman,serif">Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 12pt Times New Roman,serif">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 12pt Times New Roman,serif">&nbsp;</TD>
    <TD STYLE="font: 12pt Times New Roman,serif"><FONT STYLE="font-family: MS Mincho">&#9744;</FONT></TD>
    <TD STYLE="font: 12pt Times New Roman,serif">Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))</TD></TR>
</TABLE>
<P STYLE="font: 12pt Times New Roman,serif; margin: 0">&nbsp;</P>

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<P STYLE="font: 12pt Times New Roman,serif; margin: 0"></P>


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<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: left">&nbsp;</P>

<P STYLE="font: bold 12pt Times New Roman,serif; margin: 0; text-align: justify">Item 5.02. Departure of Directors or Certain Officers;
Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0; text-align: justify"><FONT STYLE="font-weight: normal">&nbsp;</FONT></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">On January 16, 2013, Insignia Systems, Inc. filed the authorized form of
incentive stock option agreement to be used on or after January 10, 2013 in connection with grants of incentive stock options pursuant
to the Company&rsquo;s 2003 Incentive Stock Option Plan.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">The form of agreement is attached to this Current Report as Exhibit 10.1
and incorporated by reference as if fully set forth herein.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 12pt Times New Roman,serif; margin: 0"><B>Item 9.01.&nbsp; Financial Statements and Exhibits.</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">(d)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Exhibits.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; border-collapse: collapse">
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 15%; font: 10pt Times New Roman,serif"><FONT STYLE="font-size: 10pt">Exhibit Number</FONT></TD>
    <TD STYLE="width: 85%; font: 10pt Times New Roman,serif"><FONT STYLE="font-size: 10pt">Description</FONT></TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 10pt Times New Roman,serif">&nbsp;</TD>
    <TD STYLE="font: 10pt Times New Roman,serif">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 10pt Times New Roman,serif"><FONT STYLE="font-size: 10pt">10.1</FONT></TD>
    <TD STYLE="font: 10pt Times New Roman,serif"><FONT STYLE="font-size: 10pt">Form of Incentive Stock Option Agreement under Insignia Systems, Inc. under 2003 Incentive Stock Option Plan</FONT></TD></TR>
</TABLE>
<P STYLE="font: bold 10pt Times New Roman,serif; margin: 0 0 0 0.25in; text-align: justify">&nbsp;</P>

<P STYLE="font: bold 10pt Times New Roman,serif; margin: 0 0 0 0.25in; text-align: justify">&nbsp;</P>

<P STYLE="font: bold 12pt Times New Roman,serif; margin: 0; text-align: center">SIGNATURES</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt/normal Times New Roman,serif; margin: 0">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 undersigned hereunto duly authorized.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

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    <TD STYLE="font-size: 10pt">&nbsp;</TD>
    <TD COLSPAN="2" STYLE="border-bottom: windowtext 1pt solid; font-size: 10pt; font-weight: bold; text-align: center"><FONT STYLE="font-size: 10pt"><B>Insignia Systems, Inc.</B></FONT></TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font-size: 10pt">&nbsp;</TD>
    <TD COLSPAN="2" STYLE="font-size: 10pt; text-align: center"><FONT STYLE="font-size: 10pt">(Registrant)</FONT></TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 58%; font-size: 10pt">&nbsp;</TD>
    <TD STYLE="width: 3%; font-size: 10pt">&nbsp;</TD>
    <TD STYLE="width: 39%; font-size: 10pt">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font-size: 10pt">&nbsp;</TD>
    <TD STYLE="font-size: 10pt">&nbsp;</TD>
    <TD STYLE="font-size: 10pt">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font: 10pt Times New Roman,serif"><FONT STYLE="font-size: 10pt">Date:&nbsp;&nbsp; January 16, 2013</FONT></TD>
    <TD STYLE="font-size: 10pt"><FONT STYLE="font-size: 10pt">By:</FONT></TD>
    <TD STYLE="border-bottom: windowtext 1pt solid; font-size: 10pt"><FONT STYLE="font-size: 10pt">/s/ John C. Gonsior</FONT></TD></TR>
<TR STYLE="vertical-align: top">
    <TD STYLE="font-size: 10pt">&nbsp;</TD>
    <TD STYLE="font-size: 10pt">&nbsp;</TD>
    <TD>
        <P STYLE="font: 10pt Times New Roman,serif; margin: 0">John C. Gonsior, Vice President, Finance<BR>
        and Chief Financial Officer</P>
        <P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P></TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: left"><FONT STYLE="font-weight: normal">&nbsp;</FONT></P>



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<DOCUMENT>
<TYPE>EX-10.1
<SEQUENCE>2
<FILENAME>insignia130198_ex10-1.htm
<DESCRIPTION>FORM OF INCENTIVE STOCK OPTION AGREEMENT
<TEXT>
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<P STYLE="margin: 0"></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: right"><B>EXHIBIT 10.1</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: center"><B>INCENTIVE STOCK OPTION AGREEMENT</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: center"><B>&nbsp;</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: center"><B>INSIGNIA SYSTEMS, INC.</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-align: center"><B>2003 INCENTIVE STOCK OPTION PLAN</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>THIS AGREEMENT</B>, made effective as of this <U>&#9;</U> day of <U>&#9;</U>,
20<U>&#9;</U>, by and between Insignia Systems, Inc., a Minnesota corporation (the &ldquo;Company&rdquo;), and ________ (&ldquo;Optionee&rdquo;).</P>

<P STYLE="font: 11pt Times New Roman,serif; margin: 0; text-indent: 0.5in">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>W I T N E S S E T H:</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>WHEREAS</B>, Optionee on the date hereof is an employee or officer of
the Company or one of its Subsidiaries; and</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>WHEREAS</B>, the Company wishes to grant an incentive stock option to
Optionee to purchase shares of the Company&rsquo;s Common Stock pursuant to the Company&rsquo;s 2003 Incentive Stock Option Plan
(the &ldquo;Plan&rdquo;); and</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>WHEREAS</B>, the Compensation Committee of the Board of Directors has
authorized the grant of an incentive stock option to Optionee and has determined that, as of the effective date of this Agreement,
the fair market value of the Company&rsquo;s Common Stock is $_____ per share;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>NOW, THEREFORE,</B> in consideration of the premises and of the mutual
covenants herein contained, the parties hereto agree as follows:</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">1.&nbsp;&nbsp;<B><U>Grant of Option</U></B>. The Company hereby grants
to Optionee on the date set forth above (the &ldquo;Date of Grant&rdquo;), the right and option (the &ldquo;Option&rdquo;) to
purchase all or portions of an aggregate of (_______) shares of Common Stock at a per share price of $____ on the terms and conditions
set forth herein, and subject to adjustment pursuant to Section 7 of the Plan. This Option is intended to be an incentive stock
option within the meaning of Section 422, or any successor provision, of the Internal Revenue Code of 1986, as amended (the &ldquo;Code&rdquo;),
and the regulations thereunder, to the extent permitted under Code Section 422(d).</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">2.&nbsp;<B>&nbsp;<U>Duration and Exercisability</U></B>.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">a. <B><U>General</U></B>. The term during which this
Option may be exercised shall terminate on the close of business on <B>[insert date 10 years from date of grant]</B>, except as
otherwise provided in Paragraphs 2(b) through 2(d) below. This Option shall become exercisable according to the following schedule:</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; border-collapse: collapse">
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 50%; font: 10pt Times New Roman,serif; text-decoration: underline; text-align: center"><FONT STYLE="font-size: 10pt"><U>Vesting Date</U></FONT></TD>
    <TD STYLE="width: 50%; font: 10pt Times New Roman,serif; text-decoration: underline; text-align: center"><FONT STYLE="font-size: 10pt"><U>Number of Shares</U></FONT></TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>


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<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>[Insert vesting dates and number of shares vesting on such dates. Unless
otherwise specified by the Compensation Committee, grants shall vest in 1/3 increments each year for three year years beginning
one year after the date of grant.]</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">Once the Option becomes exercisable to the extent of one hundred percent
(100%) of the aggregate number of shares specified in Paragraph 1, Optionee may continue to exercise this Option under the terms
and conditions of this Agreement until the termination of the Option as provided herein. If Optionee does not purchase upon an
exercise of this Option the full number of shares which Optionee is then entitled to purchase, Optionee may purchase upon any subsequent
exercise prior to this Option&rsquo;s termination such previously unpurchased shares in addition to those Optionee is otherwise
entitled to purchase.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">b. <B><U>Continuous Relationship with the Company Required
(except upon Disability or Death)</U>.</B> Except as otherwise provided in Paragraphs 2(c) and (d) below, this Option may not
be exercised unless the Optionee, at the time he or she exercises this Option, is, and has been at all times since the Date of
Grant, an employee or officer of, or consultant or advisor to, the Company as defined in Section 424(e) or (f) of the Code (&ldquo;Eligible
Participant&rdquo;). If Optionee&rsquo;s relationship with the Company or any Subsidiary is terminated for any reason except as
provided in Paragraphs 2(c) and (d) below, this Option shall completely terminate on the earlier of (i) the close of business
on the 90<SUP>th</SUP> day after such termination, and (ii) the expiration date of this Option stated in Paragraph 2(a) above.
In such period following the termination of Optionee&rsquo;s relationship, this Option shall be exercisable only to the extent
the Option was exercisable on the vesting date immediately preceding such termination of relationship, but had not previously
been exercised. To the extent this Option was not exercisable upon such termination of Optionee&rsquo;s relationship, or if Optionee
does not exercise the Option within the time specified in this Paragraph 2(b), all rights of Optionee under this Option shall
be forfeited.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">c. <B><U>Disability</U>.</B> If Optionee&rsquo;s relationship
with the Company ceases because of disability (as defined in Code Section 22(e), or any successor provision), this Option shall
terminate on the earlier of (i) the close of business on the one-year anniversary date of such termination of the relationship,
and (ii) the expiration date of this Option stated in Paragraph 2(a) above. In such period following the termination of Optionee&rsquo;s
relationship, this Option shall be exercisable only to the extent the Option was exercisable on the vesting date immediately preceding
such termination, but had not previously been exercised. To the extent this Option was not exercisable upon such termination of
the relationship, or if Optionee does not exercise the Option within the time specified in this Paragraph 2(c), all rights of
Optionee under this Option shall be forfeited.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">d. <B><U>Death</U>.</B> In the event of Optionee&rsquo;s
death, this Option shall terminate on the earlier of (i) the close of business on the one-year anniversary date of the date of
Optionee&rsquo;s death, and (ii) the expiration date of this Option stated in Paragraph 2(a) above. In such period following Optionee&rsquo;s
death, this Option shall be exercisable by the person or persons to whom Optionee&rsquo;s rights under this Option shall have
passed by Optionee&rsquo;s will or by the laws of descent and distribution only to the extent the Option was exercisable on the
vesting date immediately preceding the date of Optionee&rsquo;s death. To the extent this Option was not exercisable upon the
date of Optionee&rsquo;s death, or if such person or persons do not exercise this Option within the time specified in this Paragraph
2(d), all rights under this Option shall be forfeited.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>


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<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">3.&nbsp;&nbsp;<B><U>Manner of Exercise</U>.</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">a. <B><U>General</U>.</B> The Option may be exercised
only by Optionee (or other proper party in the event of death or incapacity), subject to the conditions of the Plan and subject
to such other administrative rules as the Board of Directors may deem advisable, by delivering within the Option Period written
notice of exercise to the Company at its principal office. The notice shall state the number of shares as to which the Option
is being exercised and shall be accompanied by payment in full of the Option price for all shares designated in the notice. The
exercise of the Option shall be deemed effective upon receipt of such notice by the Company and upon payment that complies with
the terms of the Plan and this Agreement. The Option may be exercised with respect to any number or all of the shares as to which
it can then be exercised and, if partially exercised, may be so exercised as to the unexercised shares any number of times during
the Option period as provided herein.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">b. <B><U>Form of Payment</U>.</B> Subject to approval
by the Administrator, payment of the option price by Optionee shall be in the form of cash, personal check, certified check or
previously acquired shares of Common Stock of the Company, or any combination thereof. Any stock so tendered as part of such payment
shall be valued at its Fair Market Value as provided in the Plan. For purposes of this Agreement, &ldquo;previously acquired shares
of Common Stock&rdquo; shall include shares of Common Stock that are already owned by Optionee at the time of exercise.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">Optionee may in the Compensation Committee&rsquo;s sole
discretion, execute a &ldquo;cashless exercise&rdquo; of an Option. In the event of a cashless exercise, the Optionee shall surrender
the Option the Company, and the Company shall issue the Optionee the number of shares determined as set forth below:</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">X=Y(A-B)/A</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">Where:</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">X=the number of shares to be issued to the Optionee.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">Y=the number of shares with respect to which the Option is being
exercised.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 48.6pt; text-indent: -12.6pt">A=the closing price of the Common Stock
on the date of exercise, or in the absence thereof, the fair market value on the date of exercise.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">B=the Option exercise price.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0 0 0 0.5in">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">c. <B><U>Stock Transfer Records</U>.</B> Subject to
the terms and conditions of this Agreement and the Plan, the Option may be exercised by following the then-current procedures
for exercise that are established by the Company.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">4.&nbsp;&nbsp;<B><U>Miscellaneous</U>.</B></P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">a. <B><U>Employment; Rights as Shareholder</U>.</B>
This Agreement shall not confer on Optionee any right with respect to continuance of employment by the Company or any of its Subsidiaries,
nor will it interfere in any way with the right of the Company to terminate such employment. Optionee shall have no rights as
a shareholder with respect to shares subject to this Option until such shares have been issued to Optionee upon exercise of this
Option. No adjustment shall be made for dividends (ordinary or extraordinary, whether in cash, securities or other property),
distributions or other rights for which the record date is prior to the date such shares are issued, except as provided in Section
7 of the Plan.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>


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<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">b. <B><U>Securities Law Compliance</U></B>. The exercise
of all or any parts of this Option shall only be effective at such time as counsel to the Company shall have determined that the
issuance and delivery of Common Stock pursuant to such exercise will not violate any state or federal securities or other laws.
Optionee may be required by the Company, as a condition of the effectiveness of any exercise of this Option, to agree in writing
that all Common Stock to be acquired pursuant to such exercise shall be held, until such time that such Common Stock is registered
and freely tradable under applicable state and federal securities laws, for Optionee&rsquo;s own account without a view to any
further distribution thereof, that the certificates for such shares shall bear an appropriate legend to that effect and that such
shares will be not transferred or disposed of except in compliance with applicable state and federal securities laws.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">c. <B><U>Mergers, Recapitalizations, Stock Splits,
Etc</U>.</B> Pursuant and subject to Section 7 of the Plan, certain changes in the number or character of the Common Stock of
the Company (through sale, merger, consolidation, exchange, reorganization, divestiture (including a spin-off), liquidation, recapitalization,
stock split, stock dividend or otherwise) shall result in an adjustment, reduction or enlargement, as appropriate, in Optionee&rsquo;s
rights with respect to any unexercised portion of the Option ( i.e., Optionee shall have such &ldquo;anti-dilution&rdquo; rights
under the Option with respect to such events, but shall not have &ldquo;preemptive&rdquo; rights).</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">d. <B><U>Shares Reserved</U>.</B> The Company shall
at all times during the option period reserve and keep available such number of shares as will be sufficient to satisfy the requirements
of this Agreement.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">e. <B><U>Withholding Taxes on Disqualifying Disposition</U>.
</B>In the event of a disqualifying disposition of the shares acquired through the exercise of this Option, Optionee hereby agrees
to inform the Company of such disposition. Upon notice of a disqualifying disposition, the Company may take such action as it
deems appropriate to insure that, if necessary to comply with all applicable federal or state income tax laws or regulations,
all applicable federal and state payroll, income or other taxes are withheld from any amounts payable by the Company to Optionee.
If the Company is unable to withhold such federal and state taxes, for whatever reason, Optionee hereby agrees to pay to the Company
an amount equal to the amount the Company would otherwise be required to withhold under federal or state law. Optionee may, subject
to the approval and discretion of the Board or such administrative rules it may deem advisable, elect to have all or a portion
of such tax withholding obligations satisfied by delivering shares of the Company&rsquo;s Common Stock or by electing to have
the Company withhold shares of Common Stock otherwise issuable to Optionee. Such shares shall have a Fair Market Value equal to
the minimum required tax withholding, based on the minimum statutory withholding rates for federal and state tax purposes, including
payroll taxes, that are applicable to the supplemental income resulting from the disqualifying disposition of the shares acquired
through the exercise of this Option. In no event may the Company withhold shares having a Fair Market Value in excess of such
statutory minimum required tax withholding.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>


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<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">f. <B><U>Nontransferability</U>.</B> During the lifetime
of Optionee, the accrued Option shall be exercisable only by Optionee or by the Optionee&rsquo;s guardian or other legal representative,
and shall not be assignable or transferable by Optionee, in whole or in part, other than by will or by the laws of descent and
distribution.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">g. <B><U>2003 Incentive Stock Option Plan</U>.</B>
The Option evidenced by this Agreement is granted pursuant to the Plan, a copy of which Plan has been made available to Optionee
and is hereby incorporated into this Agreement. This Agreement is subject to and in all respects limited and conditioned as provided
in the Plan. The Plan governs this Option and, in the event of any questions as to the construction of this Agreement or in the
event of a conflict between the Plan and this Agreement, the Plan shall govern, except as the Plan otherwise provides.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">h. <B><U>Lockup Period Limitation</U>.</B> Optionee
agrees that in the event the Company advises Optionee that it plans an underwritten public offering of its Common Stock in compliance
with the Securities Act of 1933, as amended, and that the underwriter(s) seek to impose restrictions under which certain shareholders
may not sell or contract to sell or grant any option to buy or otherwise dispose of part or all of their stock purchase rights
of the underlying Common Stock, Optionee hereby agrees that for a period not to exceed 180 days from the prospectus, Optionee
will not sell or contract to sell or grant an option to buy or otherwise dispose of this option or any of the underlying shares
of Common Stock without the prior written consent of the underwriter(s) or its representative(s).</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">i. <B><U>Blue Sky Limitation</U>.</B> Notwithstanding
anything in this Agreement to the contrary, in the event the Company makes any public offering of its securities and determines
in its sole discretion that it is necessary to reduce the number of issued but unexercised stock purchase rights so as to comply
with any state securities or Blue Sky law limitations with respect thereto, the Board of Directors of the Company shall have the
right (i) to accelerate the exercisability of this Option and the date on which this Option must be exercised, provided that the
Company gives Optionee 15 days&rsquo; prior written notice of such acceleration, and (ii) to cancel any portion of this Option
or any other option granted to Optionee pursuant to the Plan which is not exercised prior to or contemporaneously with such public
offering. Notice shall be deemed given when delivered personally or when deposited in the United States mail, first class postage
prepaid and addressed to Optionee at the address of Optionee on file with the Company.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">j. <B><U>Accounting Compliance</U>.</B> Optionee agrees
that, if a merger, reorganization, liquidation or other &ldquo;transaction&rdquo; as defined in Section 7 of the Plan occurs and
Optionee is an &ldquo;affiliate&rdquo; of the Company or any Subsidiary (as defined in applicable legal and accounting principles)
at the time of such transaction, Optionee will comply with all requirements of Rule 145 of the Securities Act of 1933, as amended,
and the requirements of such other legal or accounting principles, and will execute any documents necessary to ensure such compliance.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">k. <B><U>Stock Legend</U>.</B> The Board of Directors
may require that the certificates for any shares of Common Stock purchased by Optionee (or, in the case of death, Optionee&rsquo;s
successors) shall bear an appropriate legend to reflect the restrictions of Paragraph 4(b) and Paragraphs 4(h) through 4(j) of
this Agreement.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>


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<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 11pt Times New Roman,serif; margin: 0; text-indent: 0.5in">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">l. <B><U>Scope of Agreement</U>.</B> This Agreement
shall bind and inure to the benefit of the Company and its successors and assigns and Optionee and any successor or successors
of Optionee permitted by Paragraph 2 or Paragraph 4(f) above.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0; text-indent: 0.5in">m. <B><U>Arbitration</U>.</B> Any dispute arising out
of or relating to this Agreement or the alleged breach of it, or the making of this Agreement, including claims of fraud in the
inducement, shall be discussed between the disputing parties in a good faith effort to arrive at a mutual settlement of any such
controversy. If, notwithstanding, such dispute cannot be resolved, such dispute shall be settled by binding arbitration. Judgment
upon the award rendered by the arbitrator may be entered in any court having jurisdiction thereof. The arbitrator shall be a retired
state or federal judge or an attorney who has practiced securities or business litigation for at least 10 years. If the parties
cannot agree on an arbitrator within 20 days, any party may request that the chief judge of the District Court for Hennepin County,
Minnesota, select an arbitrator. Arbitration will be conducted pursuant to the provisions of this Agreement, and the commercial
arbitration rules of the American Arbitration Association, unless such rules are inconsistent with the provisions of this Agreement.
Limited civil discovery shall be permitted for the production of documents and taking of depositions. Unresolved discovery disputes
may be brought to the attention of the arbitrator who may dispose of such dispute. The arbitrator shall have the authority to
award any remedy or relief that a court of this state could order or grant; provided, however, that punitive or exemplary damages
shall not be awarded. The arbitrator may award to the prevailing party, if any, as determined by the arbitrator, all of its costs
and fees, including the arbitrator&rsquo;s fees, administrative fees, travel expenses, out-of-pocket expenses and reasonable attorneys&rsquo;
fees. Unless otherwise agreed by the parties, the place of any arbitration proceedings shall be Hennepin County, Minnesota.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0"><B>IN WITNESS WHEREOF,</B> the parties hereto have caused this Agreement
to be executed on the day and year first above written.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">INSIGNIA SYSTEMS, INC.</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 40%; border-collapse: collapse; font-size: 10pt">
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 7%"><FONT STYLE="font-size: 10pt">By:</FONT></TD>
    <TD STYLE="width: 93%; border-bottom: windowtext 1pt solid">&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD>&nbsp;</TD>
    <TD>&nbsp;</TD></TR>
<TR STYLE="vertical-align: top">
    <TD><FONT STYLE="font-size: 10pt">Its:</FONT></TD>
    <TD STYLE="border-bottom: windowtext 1pt solid">&nbsp;</TD></TR>
</TABLE>
<P STYLE="font: 11pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 11pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 11pt Times New Roman,serif; margin: 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 40%; border-collapse: collapse; font-size: 10pt">
<TR STYLE="vertical-align: top">
    <TD STYLE="width: 20%"><FONT STYLE="font-size: 10pt">Optionee:&nbsp;</FONT></TD>
    <TD STYLE="width: 80%; border-bottom: windowtext 1pt solid">&nbsp;</TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman,serif; margin: 0">&nbsp;</P>

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