0000943034-21-000017.txt : 20210617
0000943034-21-000017.hdr.sgml : 20210617
20210617154010
ACCESSION NUMBER: 0000943034-21-000017
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210615
FILED AS OF DATE: 20210617
DATE AS OF CHANGE: 20210617
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Berger Andrew
CENTRAL INDEX KEY: 0001656039
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35959
FILM NUMBER: 211024552
MAIL ADDRESS:
STREET 1: 84 ELM STREET
CITY: WESTFIELD
STATE: NJ
ZIP: 07090
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
2021-06-15
0
0000943034
IMAGE SENSING SYSTEMS INC
isns
0001656039
Berger Andrew
1600 UNIVERSITY AVE W
SUITE 500
SAINT PAUL
MN
55104
1
0
0
0
Common Stock
2021-06-15
4
A
0
882
0
A
114498
D
Common Stock
466642
I
See Footnote
Represents 466,642 Shares of Common Stock owned directly by AB Value, LP.
This Form 4 is filed jointly by AB Value, L.P. and Andrew Berger ("Mr. Berger"). By virtue of Mr. Berger's relationship with AB Value, L.P., Mr. Berger may be deemed to beneficially own the Shares owned by AB Value, L.P.
/s/ Andrew Berger
2021-06-17