0000897101-11-000959.txt : 20110526 0000897101-11-000959.hdr.sgml : 20110526 20110526153534 ACCESSION NUMBER: 0000897101-11-000959 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110524 FILED AS OF DATE: 20110526 DATE AS OF CHANGE: 20110526 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELEFTHERIOU MICHAEL CENTRAL INDEX KEY: 0001247536 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26056 FILM NUMBER: 11873891 MAIL ADDRESS: STREET 1: 1600 UNIVERSITY AVENUE W. #500 CITY: ST. PAUL STATE: MN ZIP: 55104 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMAGE SENSING SYSTEMS INC CENTRAL INDEX KEY: 0000943034 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 411519168 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE CITY: ST PAUL STATE: MN ZIP: 55104-3825 BUSINESS PHONE: 6516037700 MAIL ADDRESS: STREET 1: 500 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE W. CITY: ST PAUL STATE: MN ZIP: 55104 4 1 image112736eleftheriou_4.xml FORM 4 X0303 4 2011-05-24 0 0000943034 IMAGE SENSING SYSTEMS INC ISNS 0001247536 ELEFTHERIOU MICHAEL 1600 UNIVERSITY AVENUE W. #500 ST. PAUL MN 55104 1 0 0 0 Common Stock 2011-05-24 4 M 0 2000 1.40 A 2000 D Non-qualified Stock Option (Right to Buy) 1.40 2011-05-24 4 M 0 2000 0 D 2012-05-16 Common Stock 2000 24000 D Non-qualified Stock Option (Right to Buy) 10.15 2011-05-25 4 A 0 4000 0 A 2017-05-25 Common Stock 4000 4000 D The option, representing a right to purchase a total of 36,000 shares, became exercisable in three equal annual installments of 12,000 shares beginning on May 16, 2003, which was the first anniversary date of the date of grant. The reporting person previously exercised the option to purchase 10,000 shares. The option vests on April 25, 2012. /s/ Gregory R. L. Smith, Attorney-in-Fact for Michael G. Eleftheriou 2011-05-25