0000897101-16-002590.txt : 20160629
0000897101-16-002590.hdr.sgml : 20160629
20160629113401
ACCESSION NUMBER: 0000897101-16-002590
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160627
FILED AS OF DATE: 20160629
DATE AS OF CHANGE: 20160629
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: Ehrich Richard A.
CENTRAL INDEX KEY: 0001678323
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35959
FILM NUMBER: 161737812
MAIL ADDRESS:
STREET 1: 500 SPRUCE TREE CENTRE
STREET 2: 1600 UNIVERSITY AVE W.
CITY: ST. PAUL
STATE: MN
ZIP: 55104
3
1
iss162279ehrich_3.xml
FORM 3
X0206
3
2016-06-27
0
0000943034
IMAGE SENSING SYSTEMS INC
ISNS
0001678323
Ehrich Richard A.
1600 UNIVERSITY AVE W., #500
ST. PAUL
MN
55104
0
1
0
0
Interim CFO
Common Stock
13436
D
Employee Stock Option (right to buy)
6.86
2017-10-17
Common Stock
10000
D
Employee Stock Option (right to buy)
5.00
2022-09-17
Common Stock
5000
D
Employee Stock Option (right to buy)
4.22
2024-05-13
Common Stock
5000
D
The option became exercisable in four equal installments on October 17, 2012, October 17, 2013, October 17, 2014 and October 17, 2015.
The option is exercisable in four equal installments. The first three installments became exercisable on September 17, 2013, September 17, 2014 and September 17, 2015, and the last installment will become exercisable on September 17, 2016.
The option is exercisable in four equal installments. The first two installments became exercisable on May 13, 2015 and May 13, 2016, and the next two installments will become exercisable on May 13, 2017 and May 13, 2018.
/s/ Richard A. Ehrich
2016-06-29