0001144204-14-047104.txt : 20140805 0001144204-14-047104.hdr.sgml : 20140805 20140805164133 ACCESSION NUMBER: 0001144204-14-047104 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140516 FILED AS OF DATE: 20140805 DATE AS OF CHANGE: 20140805 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: INTEGRATED SURGICAL SYSTEMS INC CENTRAL INDEX KEY: 0000894871 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 680232575 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 401 WILSHIRE BLVD., STREET 2: SUITE 1020 CITY: SANTA MONICA, STATE: CA ZIP: 90401 BUSINESS PHONE: 310-526-5000 MAIL ADDRESS: STREET 1: 401 WILSHIRE BLVD., STREET 2: SUITE 1020 CITY: SANTA MONICA, STATE: CA ZIP: 90401 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tomczak Michael J CENTRAL INDEX KEY: 0001293863 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-12471 FILM NUMBER: 141016680 MAIL ADDRESS: STREET 1: 3252 HOLIDAY COURT, SUITE 208 CITY: LA JOLLA STATE: CA ZIP: 92037 4 1 v384051_4.xml OWNERSHIP DOCUMENT X0306 4 2014-05-16 0 0000894871 INTEGRATED SURGICAL SYSTEMS INC ISSM.PK 0001293863 Tomczak Michael J PO BOX 475 AUBURN CA 95602 1 0 0 0 Option .17 2014-05-16 5 A 0 E 25000 .17 A 2014-05-16 2019-05-16 Common Stock 25000 25000 D /s/ Michael Tomczak 2014-08-04