0000943034-16-000035.txt : 20161219
0000943034-16-000035.hdr.sgml : 20161219
20161219132301
ACCESSION NUMBER: 0000943034-16-000035
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161215
FILED AS OF DATE: 20161219
DATE AS OF CHANGE: 20161219
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: Davis Geoffrey Clark
CENTRAL INDEX KEY: 0001689088
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35959
FILM NUMBER: 162058471
MAIL ADDRESS:
STREET 1: 1929 WEDGEWOOD LANE
CITY: HEBRON
STATE: KY
ZIP: 41048
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-12-15
0
0000943034
IMAGE SENSING SYSTEMS INC
ISNS
0001689088
Davis Geoffrey Clark
1600 UNIVERSITY AVE. W. #500
ST. PAUL
MN
55104
1
0
0
0
Common Stock
2016-12-15
4
A
0
1167
0
A
2667
D
/s/ Richard A. Ehrich, Attorney-in-Fact for Geoffrey C. Davis
2016-12-19