<SEC-DOCUMENT>0001654954-17-005098.txt : 20170525
<SEC-HEADER>0001654954-17-005098.hdr.sgml : 20170525
<ACCEPTANCE-DATETIME>20170525120516
ACCESSION NUMBER:		0001654954-17-005098
CONFORMED SUBMISSION TYPE:	SD
PUBLIC DOCUMENT COUNT:		2
<RULE>
<RULE-NAME>13p-1
<ITEM>
<ITEM-NUMBER>1.01
<ITEM-PERIOD>20161231
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FILED AS OF DATE:		20170525
DATE AS OF CHANGE:		20170525

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:		SD
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-13471
		FILM NUMBER:		17868985

	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>SD
<SEQUENCE>1
<FILENAME>insigniaformsd2017-05v2.htm
<DESCRIPTION>FORM SD
<TEXT>
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</font><font style="font-size: 21px"><font style="font-weight: bold; font-family: Times New Roman;">UNITED
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SECURITIES AND EXCHANGE COMMISSION</font></font></font></div>
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Washington, D.C. 20549</font></div>
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__________________</font></div>
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Specialized Disclosure Report</font></div>
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<font style="font-weight: bold; font-family: Times New Roman; font-size: 16px"><font style="font-size: 24px">
INSIGNIA SYSTEMS, INC.</font></font></div>
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<font style="font-family: Times New Roman; font-size: 13px">(Exact
name of registrant as specified in its charter)</font></div>
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<div style="text-align: center; margin-left: 0px; text-indent: 0px; margin-right: 0px;"><font style="font-size: 16px"><font style="font-family: Times New Roman;">Minnesota</font><br></font></div>
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<div><font>&#xA0;</font></div>
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<font style="font-family: Times New Roman; font-size: 13px;"><font style="font-size: 16px">
1-13471</font></font></div>
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<font style="font-family: Times New Roman; font-size: 13px;"><font style="font-size: 16px">
41-1656308</font></font></div>
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<div><font>&#xA0;</font><font style="font-family: Times New Roman; font-size: 13px">(State or other
jurisdiction of incorporation or organization)</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">(Commission
File Number)</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">(IRS
Employer identification No.)</font></div>
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<div style="text-align: center; text-indent: 0px; line-height: 1; margin-left: 0px; margin-right: 0px; border-bottom: 2px solid rgb(0, 0, 0);"><font style="font-size: 15px"><font style="font-size: 13px">&#xA0;<font style="font-family: Times New Roman;">8799 Brooklyn Blvd., Minneapolis,
Minnesota</font></font><br></font></div>
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<div><font style="text-align: left; vertical-align: bottom; font-weight: bold; width: 10%; font-family: Times New Roman; display: inline-block; padding-bottom: 2px;">&#xA0;</font><font style="text-align: left; vertical-align: bottom; font-weight: bold; width: 5%; font-family: Times New Roman; display: inline-block; padding-bottom: 2px;">&#xA0;</font><br>
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<div style="border-bottom: 2px solid rgb(0, 0, 0);">
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<font style="font-size: 15px">55445<br></font></div>
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<font>&#xA0;</font><font style="font-family: Times New Roman; font-size: 13px;">(Address of
principal executive offices) &#xA0;&#xA0;<br></font></div>
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<div><font style="text-align: left; vertical-align:bottom;width:10%;display:inline-block;">&#xA0;</font><font style="text-align: left; vertical-align:bottom;width:5%;display:inline-block;">&#xA0;</font><font style="text-align: right; vertical-align:bottom;width:75%;display:inline-block;">&#xA0;</font><font style="text-align: left; vertical-align:bottom;width:10%;display:inline-block;">&#xA0;</font></div>
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<div style="text-align: center; margin-left:0px;"><font style="font-family: Times New Roman; font-size: 13px">(Zip
Code)<br></font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;</font>
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<div><font style="font-size: 15px; font-family: Times New Roman;">Kristine Glancy,
President and CEO<br></font></div>
</td>
<td rowspan="1" style="width: 50%; border-bottom: 2px solid rgb(0, 0, 0);">
<div><font style="font-size: 15px;"><font style="font-family: Times New Roman;">763-392-6200</font><br></font></div>
</td>
</tr><tr style="">
<td colspan="2" style="vertical-align: bottom; width: 100%;">
<div><font><font style="font-size: 12px"><font style="font-size: 13px">&#xA0;(Name and telephone number, including area
code, of the person to contact in connection with this
report.)</font><br></font></font></div>
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<div style="text-align: left; margin-left: 12px; margin-right: 2px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">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:</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: left; margin-left: 12px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;<font style="font-size: 13px">&#x2612;</font> Rule 13p-1 under the Securities
Exchange Act (17 CFR 240.13p-1) for the reporting period from
January 1 to December 31, 2016.</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
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<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Section
1 - Conflict Minerals Disclosure</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Item
1.01 Conflict Minerals Disclosure and Report</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Conflict
Minerals Disclosure</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">This
Form SD of Insignia Systems, Inc. (the &#x201C;Company&#x201D;) is
filed pursuant to Rule 13p-1 promulgated under the Securities and
Exchange Act of 1934, as amended, for the reporting period January
1, 2016 to December 31, 2016.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">A copy
of the Company&#x2019;s Conflict Minerals Report is provided as
Exhibit 1.01 to this Form SD, and is publicly available at
www.insigniasystems.com.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Item
1.02 Exhibit</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">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.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Section
2 &#x2013; Exhibits</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Item
2.01 Exhibits</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
following exhibit is included herewith:</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
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<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Exhibit Number</font></div>
</td>
<td style="vertical-align: top; width: 83%; border-bottom: 2px solid #000000">
<div style="text-align: left; margin-left: 0px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Description</font></div>
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<td style="vertical-align: top; width: 17%">
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">1.01</font></div>
</td>
<td style="vertical-align: top; width: 83%">
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Conflict Minerals
Report as required by Items 1.01 and 1.02 of this
Form.</font></div>
</td>
</tr></table>
</div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: center; margin-left: 0px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">SIGNATURES</font></div>
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 36px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">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.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="margin-left: 36px;">
<table cellpadding="0" cellspacing="0" style="width: 100%; font-family: Times New Roman; font-size: 13px">
<tr>
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<div><font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
</td>
<td style="vertical-align: middle; width: 61%; border-bottom: 2px solid #000000">
<div style="text-align: center; margin-left: 0px; margin-right: 0px; text-indent: 96px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Insignia
Systems,
Inc.&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;<br>
</font></div>
<div style="text-align: center; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">(Registrant)</font></div>
</td>
</tr><tr>
<td style="vertical-align: middle; width: 39%">
<div><font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
</td>
<td style="vertical-align: middle; width: 61%">
<div><font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
</td>
</tr><tr>
<td style="vertical-align: middle; width: 39%">
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Date:
May 25, 2017</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
</td>
<td style="vertical-align: middle; width: 61%; border-bottom: 2px solid #000000">
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 12px">
<font style="font-family: Times New Roman; font-size: 13px">By&#xA0;&#xA0;&#xA0;
<font style="text-decoration: underline">/s/ Kristine A.
Glancy</font></font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;&#xA0;&#xA0;
&#xA0;&#xA0;&#xA0; &#xA0;&#xA0;&#xA0; Kristine A.
Glancy</font></div>
</font>&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;&#xA0;
<font style="font-family: Times New Roman; font-size: 13px">President and Chief
Executive Officer&#xA0;&#xA0;&#xA0;<br></font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 36px">
<font style="font-family: Times New Roman; font-size: 13px">(on
behalf of registrant)</font></div>
</td>
</tr></table>
</div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
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<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
EXHIBIT INDEX</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
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<tr>
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<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Exhibit Number</font></div>
</td>
<td style="vertical-align: top; width: 83%; border-bottom: 2px solid #000000">
<div style="text-align: left; margin-left: 0px; margin-right: 58px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">Description</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 17%">
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">1.01</font></div>
</td>
<td style="vertical-align: top; width: 83%">
<div><font style="font-family: Times New Roman; font-size: 10">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 58px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Conflict Minerals
Report as required by Items 1.01 and 1.02 of this
Form.</font></div>
</td>
</tr></table>
</div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
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</DOCUMENT>
<DOCUMENT>
<TYPE>EX-1.01
<SEQUENCE>2
<FILENAME>insigniaformsd2017-05v2ex.htm
<DESCRIPTION>EX-1.01
<TEXT>
<html>
<head>
<!-- Document created using Blueprint(R) - powered by Issuer Direct - www.issuerdirect.com -->
<!-- Copyright 2017 Issuer Direct Corporation -->
<title>Blueprint</title>
</head>
<body style="font-family: Times New Roman; font-size: 13px;">
<div id="pgbrk" style="width: 100%; margin-left: 0px; text-indent: 0px; margin-right: 0px">
<div id="hdr">
<div style="text-align: left; width: 100%; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
</div>
</div>
<div style="text-align: right; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Exhibit 1.01</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: center; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
INSIGNIA SYSTEMS, INC.</font></div>
<div style="text-align: center; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
CONFLICT MINERALS REPORT</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: center; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
For the reporting period from January 1, 2016 to December 31,
2016</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">This
Conflict Minerals Report (the &#x201C;Report&#x201D;) of Insignia
Systems, Inc. (the &#x201C;Company&#x201D;) has been prepared
pursuant to Rule 13p-1 and Form SD (the &#x201C;Rule&#x201D;)
promulgated under the Securities Exchange Act of 1934, as amended,
for the reporting period January 1, 2016 to December 31,
2016.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
Rule requires disclosure of certain information when a company
manufactures or contracts to manufacture products for which the
minerals specified in the Rule are necessary to the functionality
or production of those products. The specified minerals, which we
collectively refer to in the Report as the &#x201C;Conflict
Minerals,&#x201D; are gold, columbite-tantalite (coltan),
cassiterite and wolframite, including their derivatives, which are
limited to tantalum, tin and tungsten. The &#x201C;Covered
Countries&#x201D; for the purposes of the Rule are the Democratic
Republic of the Congo, the Republic of the Congo, the Central
African Republic, South Sudan, Uganda, Rwanda, Burundi, Tanzania,
Zambia and Angola. As described in this Report, certain of the
Company&#x2019;s operations manufacture, or contract to manufacture,
products, and the Conflict Minerals are necessary to the
functionality or production of those products.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Description of the Company&#x2019;s Products Covered by this
Report</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">This
Report relates to products: (i) for which Conflict Minerals are
necessary to the functionality or production of the product; (ii)
that were manufactured, or contracted to be manufactured, by the
Company; and (iii) for which the manufacture was completed during
calendar year 2016.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">These
products, which are referred to in this Report collectively as the
&#x201C;Covered Products,&#x201D; are a certain type of printed
signage. These products are manufactured using printer toner that
contains trace amounts of tin, a &#x201C;Conflict Mineral&#x201D; as
defined above.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Reasonable Country of Origin Inquiry</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
Company conducted a good faith reasonable country of origin inquiry
regarding the Conflict Minerals contained in the Covered Products.
This good faith reasonable country of origin inquiry was reasonably
designed to determine whether any Conflict Minerals contained in
the Covered Product originated in the Covered Countries and whether
any Conflict Minerals contained in the Covered Products may be from
recycled or scrap sources.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
Company&#x2019;s supply chain with respect to the Covered Products
is complex, and there are many third parties in the supply chain
between the ultimate manufacture of the Covered Products and the
original sources of Conflict Minerals. In this regard, the Company
does not purchase Conflict Minerals directly from mines, smelters
or refiners. The Company must therefore rely on its suppliers to
provide information regarding the origin of Conflict Minerals that
are included in the Covered Products. Moreover, the Company
believes that the smelters and refiners of the Conflict Minerals
are best situated to identify the sources of Conflict Minerals, and
therefore has taken steps to identify the applicable smelters and
refiners of Conflict Minerals in the Company&#x2019;s supply
chain.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
sole supplier of materials used to manufacture the Company&#x2019;s
Covered Products was identified and contacted directly to inquire
if Conflict Minerals were present and critical to the functionality
of those materials provided to the Company. The supplier returned
to the Company a Conflict Minerals Reporting Template (the
&#x201C;CMRT&#x201D;) developed by the Electronic Industry
Citizenship Coalition and the Global Sustainability Initiative.
Based on the information disclosed on the CMRT, the Company
compiled a list of smelters identified by our sole supplier of
materials used to manufacture the Covered Products.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Due Diligence</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-style: italic; font-family: Times New Roman; font-size: 13px">
Due Diligence Design and Framework</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Because
the Company could not determine that the tin in the Covered Product
did not originate in a Covered Country or originated from recycled
or scrap sources based on the response to the CMRT, the Company
exercised due diligence on the source and chain of custody of the
Conflict Minerals. The Company&#x2019;s due diligence measures have
been designed to conform to the five-step framework in the
Organization for Economic Co-operation and Development Due
Diligence Guidance for Responsible Supply Chain of Minerals from
Conflict-Affected and High Risk Areas: Third Edition, including the
related supplements on gold, tin, tantalum and tungsten (the
&#x201C;OECD Guidance&#x201D;).</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
Company adopted a policy relating to Conflict Minerals (the
&#x201C;Company Policy&#x201D;), incorporating the standards set
forth in OECD Guidance. The Company&#x2019;s policy is to avoid the
use of Conflict Minerals that directly or indirectly finance or
benefit armed groups in Covered Countries. To achieve this
objective, the Company has and will continue to survey its
suppliers to understand the origin of Conflict Minerals in its
Covered Products and expects its suppliers to adopt similar
policies and procedures and to supply materials to the Company that
are not financing or benefiting armed groups in the Covered
Countries.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div id="pgbrk" style="width: 100%; margin-left: 0px; text-indent: 0px; margin-right: 0px">
<div id="ftr">
<div style="text-align: left; width: 100%"><font style="font-family: Times New Roman; font-size: 11px">&#xA0;</font></div>
</div>
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<div style="text-align: right; width: 100%"><font style="font-family: Times New Roman; font-size: 11px">&#xA0;</font></div>
</div>
</div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px;">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-style: italic; font-family: Times New Roman; font-size: 13px">
Due Diligence Measures Performed</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
objective of the due diligence performed was to determine the
source and chain of custody of the Conflict Minerals contained in
the Covered Products and to determine whether any of those Conflict
Minerals are associated with armed groups in the Covered Countries.
For the Covered Products manufactured during the twelve months
ended December 31, 2016, the Company&#x2019;s Accounting Department,
Operations Department, and Legal Counsel were involved in the due
diligence process, which was overseen by the Director of Finance
and Controller.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">The
Company compared the smelter information received from its sole
supplier of the toner containing the Conflict Minerals against the
smelter lists developed and maintained by the Conflict-Free
Sourcing Initiative (the &#x201C;CFSI&#x201D;) to determine the
compliance status of each of the smelters that our supplier
reported to us.</font></div>
<div style="text-align: justify; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-style: italic; font-family: Times New Roman; font-size: 13px">
Due Diligence Results</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">&#xA0;</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">The
eight smelters reported by our sole supplier on its CMRT are listed
in Appendix I below. The Company was able to identify that each of
these smelters was listed on the CFSI list as of May 11, 2017 and
each of them had been deemed compliant with the Conflict-Free
Smelter Program (&#x201C;CFSP&#x201D;) assessment protocols by an
independent third party auditor, although the CFSI list reports
that one of these smelters currently has a reaudit in progress.
Neither the Company nor our supplier has been able to identify the
countries of origin of the tin sourced by those smelters identified
by our supplier and therefore, the information received from our
due diligence efforts is not sufficient to determine the countries
of origin of the tin in our Covered Products. We are continuing to
work with our supplier cooperatively to monitor risks in our supply
chain to ensure compliance with the Company Policy.</font></div>
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<font style="font-weight: bold; font-style: italic; font-family: Times New Roman; font-size: 13px">
Future Steps to Mitigate Risk</font></div>
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<font style="font-family: Times New Roman; font-size: 13px">The
Company expects to take the following steps, among others, to
continue to improve its due diligence measures and to further
mitigate the risk that any Conflict Minerals necessary to the
functionality of any of the Company&#x2019;s products finance or
benefit armed groups in the Covered Countries: continuing to engage
with suppliers to obtain current, accurate and complete information
about the supply chain; encouraging suppliers to implement
responsible sourcing and to have them encourage smelters and
refiners to obtain a &#x201C;conflict-free&#x201D; designation from
an independent, third-party auditor; and engaging in industry
initiatives encouraging &#x201C;conflict-free&#x201D; supply
chains.</font></div>
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APPENDIX I</font></div>
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<tr>
<td style="vertical-align: bottom; width: 9%; border-bottom: 2px solid #000000">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Mineral</font></div>
</td>
<td style="vertical-align: bottom; width: 64%; border-bottom: 2px solid #000000">
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<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Smelter Name<font style="font-size: 70%; vertical-align: top">(1)</font></font></div>
</td>
<td style="vertical-align: bottom; width: 27%; border-bottom: 2px solid #000000">
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<font style="font-weight: bold; font-family: Times New Roman; font-size: 13px">
Country Location of Smelter</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">EM
Vinto <font style="font-size: 70%; vertical-align: top">(2)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Bolivia</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Malaysia
Smelting Corporation (MSC) <font style="font-size: 70%; vertical-align: top">(3)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Malaysia</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Minera&#xE7;&#xE3;o
Taboca S.A. <font style="font-size: 70%; vertical-align: top">(2)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Brazil</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Minsur
<font style="font-size: 70%; vertical-align: top">(2)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Peru</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Operaciones
Metalurgical S.A. <font style="font-size: 70%; vertical-align: top">(2)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Bolivia</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Thaisacro
<font style="font-size: 70%; vertical-align: top">(2)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Thailand</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">White
Solder Metalurgia e Minera&#xE7;&#xE3;o Ltda. <font style="font-size: 70%; vertical-align: top">(2)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Brazil</font></div>
</td>
</tr><tr>
<td style="vertical-align: top; width: 9%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Tin</font></div>
</td>
<td style="vertical-align: top; width: 64%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">Yunnan
Tin Company Limited <font style="font-size: 70%; vertical-align: top">(2)</font></font></div>
</td>
<td style="vertical-align: top; width: 27%">
<div style="text-align: left; margin-left: 0px; margin-right: 0px; text-indent: 0px">
<font style="font-family: Times New Roman; font-size: 13px">China</font></div>
</td>
</tr></table>
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<font style="font-family: Times New Roman; font-size: 13px">(1)</font></div>
<div style="text-align: justify; display: table-cell"><font style="font-family: Times New Roman; font-size: 13px">Smelter names as
reported by the CFSI as of 5/11/17</font></div>
</div>
</div>
<div style="margin-left: 72px; display: table">
<div style="display: table-row">
<div style="text-align: left; display: table-cell; width: 24px">
<font style="font-family: Times New Roman; font-size: 13px">(2)</font></div>
<div style="text-align: justify; display: table-cell"><font style="font-family: Times New Roman; font-size: 13px">Smelter is
currently certified as compliant with the CFSP assessment
protocols</font></div>
</div>
</div>
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<div style="text-align: left; display: table-cell; width: 24px">
<font style="font-family: Times New Roman; font-size: 13px">(3)</font></div>
<div style="text-align: justify; display: table-cell"><font style="font-family: Times New Roman; font-size: 13px">Smelter was
certified as compliant with the CFSP assessment protocols through
5/27/16; smelter is currently undergoing a reaudit</font></div>
</div>
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