SEC FORM 3/A SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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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. Date of Event Requiring Statement (Month/Day/Year)
11/27/2006
3. Issuer Name and Ticker or Trading Symbol
WIRELESS RONIN TECHNOLOGIES INC [ RNIN ]
4. 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
5. If Amendment, Date of Original Filed (Month/Day/Year)
11/27/2006
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 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)
Common Stock 5,555 D
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: 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
Warrant to Purchase Common Stock 10/31/2003 10/31/2008 Common Stock 2,777 9 D
Warrant to Purchase Common Stock 03/10/2004 03/10/2009 Common Stock 5,555 9 D
Warrant to Purchase Common Stock 10/12/2004 10/12/2009 Common Stock 11,111 2.25 D
Warrant to Purchase Common Stock 12/14/2004 12/14/2009 Common Stock 8,333 9 D
Warrant to Purchase Common Stock 02/01/2004 02/01/2009 Common Stock 3,333 6.75 D
Warrant to Purchase Common Stock 05/01/2004 05/01/2009 Common Stock 3,333 6.75 D
Warrant to Purchase Common Stock 08/01/2004 08/01/2009 Common Stock 3,333 6.75 D
Warrant to Purchase Common Stock 11/01/2004 11/01/2009 Common Stock 3,333 6.75 D
Warrant to Purchase Common Stock 04/29/2004 04/29/2009 Common Stock 13,888 6.75 D
Warrant to Purchase Common Stock 02/01/2005 02/01/2010 Common Stock 3,333 6.75 D
Warrant to Purchase Common Stock 04/29/2005 04/29/2010 Common Stock 13,888 6.75 D
Warrant to Purcahse Common Stock 05/01/2005 05/01/2010 Common Stock 3,333 6.75 D
Warrant to Purchase Common Stock 06/16/2005 06/16/2010 Common Stock 6,800 9 D
Warrant to Purchase Common Stock 08/04/2005 08/04/2010 Common Stock 3,333 6.75 D
Warrant to Purchase Common Stock 09/02/2005 09/02/2010 Common Stock 7,433 9 D
Warrant to Purchase Common Stock 09/02/2005 09/02/2010 Common Stock 13,333 6.75 D
Warrant to Purchase Common Stock 02/16/2006 02/16/2011 Common Stock 3,403 9 D
Warrant to Purchase Common Stock 03/06/2006 03/06/2011 Common Stock 2,108 9 D
Convertible Note(1) 10/31/2003 11/30/2006 Common Stock 31,250 3.2 D
Explanation of Responses:
1. On or about November 30, 2006, the principal amount of the convertible note will be automatically converted into shares of the Company's common stock at a conversion price per share equal to $3.20 per share in accordance with the terms of the convertible note.
/s/ Jeffrey C. Mack, Attorney-in-Fact 12/29/2006
** 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 5 (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).
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