0000897101-11-000620.txt : 20110407 0000897101-11-000620.hdr.sgml : 20110407 20110407162852 ACCESSION NUMBER: 0000897101-11-000620 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20110405 FILED AS OF DATE: 20110407 DATE AS OF CHANGE: 20110407 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Doyle Michael C CENTRAL INDEX KEY: 0001517483 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26056 FILM NUMBER: 11746513 MAIL ADDRESS: STREET 1: 1600 UNIVERSITY AVENUE WEST STREET 2: SUITE 500 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: 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 iss111852doyle_4.xml FORM 4 X0303 4 2011-04-05 0 0000943034 IMAGE SENSING SYSTEMS INC ISNS 0001517483 Doyle Michael C 1600 UNIVERSITY AVENUE WEST SUITE 500 ST. PAUL MN 55104 1 0 0 0 Non-incentive Stock Options 13.50 2011-04-05 4 A 0 18000 0 A 2021-04-04 Common Stock 18000 18000 D Non-employee, non-incentive stock option covering 18,000 shares granted under the 2005 Stock Incentive Plan on April 5, 2011 and exercisable in three equal installments on April 5, 2012, 2013 and 2014. /s/ Loren R. Miller, Attorney-in-Fact for Michael Doyle 2011-04-07