SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Jacobs Stephen E

(Last) (First) (Middle)
14700 MARTIN DRIVE

(Street)
EDEN PRAIRIE MN 55344

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
WIRELESS RONIN TECHNOLOGIES INC [ RNIN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Exec VP and Secretary
3. Date of Earliest Transaction (Month/Day/Year)
11/30/2006
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 11/30/2006 C(1) 31,250 A $3.2 36,805 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Warrant to Purchase Common Stock $9 10/31/2003 10/31/2008 Common Stock 2,778 2,778 D
Warrant to Purchase Common Stock $9 03/10/2004 03/10/2009 Common Stock 5,555 5,555 D
Warrant to Purchase Common Stock $2.25 10/12/2004 10/12/2009 Common Stock 11,112 11,112 D
Warrant to Purchase Common Stock $9 12/14/2004 12/14/2009 Common Stock 8,333 8,333 D
Warrant to Purchase Common Stock $6.75 02/01/2004 02/01/2009 Common Stock 3,333 3,333 D
Warrant to Purchase Common Stock $6.75 05/01/2004 05/01/2010 Common Stock 3,333 3,333 D
Warrant to Purchase Common Stock $6.75 08/01/2004 08/01/2009 Common Stock 3,333 3,333 D
Warrant to Purchase Common Stock $6.75 11/01/2004 11/01/2009 Common Stock 3,333 3,333 D
Warrant to Purchase Common Stock $6.75 04/29/2004 04/29/2009 Common Stock 13,889 13,889 D
Warrant to Purchase Common Stock $6.75 02/01/2005 02/01/2010 Common Stock 3,333 3,333 D
Warrant to Purchase Common Stock $6.75 04/29/2005 04/29/2010 Common Stock 13,889 13,889 D
Warrant to Purchase Common Stock $6.75 05/01/2005 05/01/2010 Common Stock 3,333 3,333 D
Warrant to Purchase Common Stock $9 06/16/2005 06/16/2010 Common Stock 6,801 6,801 D
Warrant to Purchase Common Stock $6.75 08/04/2005 08/04/2010 Common Stock 3,333 3,333 D
Warrant to Purchase Common Stock $9 09/02/2005 09/02/2010 Common Stock 7,434 7,434 D
Warrant to Purchase Common Stock $6.75 09/02/2005 09/02/2010 Common Stock 13,333 13,333 D
Warrant to Purchase Common Stock $9 02/16/2006 02/16/2011 Common Stock 3,404 3,404 D
Convertible Note $3.2 11/30/2006 C(1) 31,250 10/31/2003 11/30/2006 Common Stock 31,250 $0 0 D
Explanation of Responses:
1. On November 30, 2006, the principal amount of the convertible note automatically converted into shares of the Company's common stock at a conversion price of $3.20 per share in accordance with the terms of the convertible note.
/s/ John A. Witham, Attorney-in-Fact 12/04/2006
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.