0000897101-12-000831.txt : 20120522 0000897101-12-000831.hdr.sgml : 20120522 20120522170236 ACCESSION NUMBER: 0000897101-12-000831 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120518 FILED AS OF DATE: 20120522 DATE AS OF CHANGE: 20120522 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MICHALOPOULOS PANOS G CENTRAL INDEX KEY: 0001008477 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26056 FILM NUMBER: 12862218 MAIL ADDRESS: STREET 1: 500 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE WEST CITY: ST PAUL STATE: MN ZIP: 55104-3825 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 image122243michal_4.xml OWNERSHIP DOCUMENT X0305 4 2012-05-18 0 0000943034 IMAGE SENSING SYSTEMS INC ISNS 0001008477 MICHALOPOULOS PANOS G 500 SPRUCE TREE CENTRE 1600 UNIVERSITY AVENUE WEST ST. PAUL MN 55104-3825 1 0 0 0 Common Stock 2012-05-18 4 M 0 15000 3.1 A 319298 I By Transatlantic Emporium & Tech Exchange LLC Non-qualified Stock Option (Right to Buy) 3.1 2012-05-18 4 M 0 15000 0 D 2002-09-20 2012-09-20 Common Stock 15000 11000 I By Transatlantic Emporium & Tech Exchange LLC Non-qualified Stock Option (Right to Buy) 6.12 2012-05-18 4 A 0 4000 0 A 2016-05-18 Common Stock 4000 4000 D All of the equity interests of Transatlantic Emporium & Tech Exchange LLC are owned by the reporting person. The option, representing the right to purchase a total of 36,000 shares, became exercisable as to 24,000 shares on December 31, 2002 and 12,000 shares on December 31, 2003. The option vests on April 18, 2013. /s/ Gregory R. L. Smith, Attorney-in-Fact for Panos G. Michalopoulos 2012-05-22