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