0000897101-11-000622.txt : 20110407 0000897101-11-000622.hdr.sgml : 20110407 20110407165154 ACCESSION NUMBER: 0000897101-11-000622 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: AUBREY KEN CENTRAL INDEX KEY: 0001386033 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26056 FILM NUMBER: 11746668 MAIL ADDRESS: STREET 1: 1600 UNIVERSITY AVE W #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 image111858aubrey_4.xml FORM 4 X0303 4 2011-04-05 0 0000943034 IMAGE SENSING SYSTEMS INC ISNS 0001386033 AUBREY KEN 1600 UNIVERSITY AVE W #500 ST PAUL MN 55104 0 1 0 0 President & CEO Non-incentive Stock Options 13.50 2011-04-05 4 A 0 15000 0.00 A 2017-04-04 Common Stock 15000 133000 D Incentive Stock Options 13.50 2011-04-05 4 A 0 5000 0.00 A 2017-04-04 Common Stock 5000 138000 D Exercisable in three equal installments of 5,000 shares on April 5, 2012, 2013 and 2014. 83,285 non-incentive stock options and 49,715 incentive stock options. Exercisable on April 5, 2015. 83,285 non-incentive stock options and 54,715 incentive stock options. /s/ Gregory R. L. Smith, Attorney-in-Fact for Ken Aubrey 2011-04-07