0000897101-15-001239.txt : 20150917 0000897101-15-001239.hdr.sgml : 20150917 20150917180134 ACCESSION NUMBER: 0000897101-15-001239 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150915 FILED AS OF DATE: 20150917 DATE AS OF CHANGE: 20150917 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRACKE JAMES W CENTRAL INDEX KEY: 0001265843 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35959 FILM NUMBER: 151113560 MAIL ADDRESS: STREET 1: 15411 MASON POINTE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 4 1 iss153219bracke_4.xml FORM 4 X0306 4 2015-09-15 0 0000943034 IMAGE SENSING SYSTEMS INC ISNS 0001265843 BRACKE JAMES W 1600 UNIVERSITY AVE W #500 ST PAUL MN 55104 1 0 0 0 Common Stock 2015-09-15 4 A 0 1513 0 A 28142 D /s/ Dale E. Parker, Attorney-in-Fact for James W. Bracke 2015-09-16