0000943034-18-000004.txt : 20180316 0000943034-18-000004.hdr.sgml : 20180316 20180316154156 ACCESSION NUMBER: 0000943034-18-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180315 FILED AS OF DATE: 20180316 DATE AS OF CHANGE: 20180316 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: 18695516 MAIL ADDRESS: STREET 1: 1929 WEDGEWOOD LANE CITY: HEBRON STATE: KY ZIP: 41048 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2018-03-15 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 2018-03-15 4 A 0 2049 0 A 12798 D /s/Todd C. Slawson, Attorney-in-fact for Geoffrey C. Davis 2018-03-16