0000943034-16-000018.txt : 20160919 0000943034-16-000018.hdr.sgml : 20160919 20160919120847 ACCESSION NUMBER: 0000943034-16-000018 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160915 FILED AS OF DATE: 20160919 DATE AS OF CHANGE: 20160919 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: Fisher Melissa B CENTRAL INDEX KEY: 0001570337 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35959 FILM NUMBER: 161891233 MAIL ADDRESS: STREET 1: 188 E. 64TH STREET STREET 2: APT. 604 CITY: NEW YORK STATE: NY ZIP: 10065 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-09-15 0 0000943034 IMAGE SENSING SYSTEMS INC ISNS 0001570337 Fisher Melissa B 1600 UNIVERSITY AVE W #500 ST. PAUL MN 55104 1 0 0 0 Common Stock 2016-09-15 4 A 0 1623 0 A 18081 D /s/Richard A. Ehrich, Attorney-in-Fact for Melissa B. Fisher 2016-09-19