0000943034-21-000004.txt : 20210316 0000943034-21-000004.hdr.sgml : 20210316 20210316120926 ACCESSION NUMBER: 0000943034-21-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210314 FILED AS OF DATE: 20210316 DATE AS OF CHANGE: 20210316 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Stelzig Chad CENTRAL INDEX KEY: 0001678337 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35959 FILM NUMBER: 21744494 MAIL ADDRESS: STREET 1: 400 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE W. CITY: ST. PAUL STATE: MN ZIP: 55104 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: 400 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE CITY: ST PAUL STATE: MN ZIP: 55104-3825 BUSINESS PHONE: 6516037700 MAIL ADDRESS: STREET 1: 400 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 2021-03-14 0 0000943034 IMAGE SENSING SYSTEMS INC isns 0001678337 Stelzig Chad 400 SPRUCE TREE CENTRE 1600 UNIVERSITY AVE W. ST. PAUL MN 55104 0 1 0 0 CEO Common Stock 2021-03-14 4 F 0 2512 4.44 D 45511 D These shares were used to pay the reporting person's tax obligation, and their disposition in this manner is not subject to the trading prohibitions of the issuer's Procedures and Guidelines Governing Insider Trading and Tipping. /s/ Chad A. Stelzig 2021-03-16