0000897101-11-000871.txt : 20110516
0000897101-11-000871.hdr.sgml : 20110516
20110516145630
ACCESSION NUMBER: 0000897101-11-000871
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110512
FILED AS OF DATE: 20110516
DATE AS OF CHANGE: 20110516
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: 11845926
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
iss112583doyle_4.xml
FORM 4
X0303
4
2011-05-12
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
Common Stock
2011-05-12
4
P
0
463
11.45
A
563
I
By trust
Common Stock
2011-05-13
4
P
0
1500
11.25
A
2063
I
By trust
Of these shares, 100 shares were reported as directly owned by the reporting person in a Form 3 filed on 04/07/2011 but actually are indirectly owned, as indicated.
/s/ Gregory R. L. Smith, Attorney-in-Fact for Michael C. Doyle
2011-05-16