X0206 3 2016-11-04 0 0000894871 INTEGRATED SURGICAL SYSTEMS INC ISSM 0001688943 Sornsin William Carrier Jr 5048 ROOSEVELT WAY NE SEATTLE WA 98105 0 1 0 0 Chief Operating Officer Common Stock 1799190 D Including 629,717 shares issued in the Reporting Person's name, but held by an escrow agent, pursuant to the Share Exchange Agreement, dated as of October 14, 2016, by and among Integrated Surgical Systems Inc. and the signatories thereto. /s/ William Sornsin 2016-11-08