0000897101-12-000832.txt : 20120522 0000897101-12-000832.hdr.sgml : 20120522 20120522170843 ACCESSION NUMBER: 0000897101-12-000832 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: Doyle Michael C CENTRAL INDEX KEY: 0001517483 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26056 FILM NUMBER: 12862278 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 iss122244doyle_4.xml OWNERSHIP DOCUMENT X0305 4 2012-05-18 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 2012-05-21 4 P 0 1000 6.50 A 11000 I By trust 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 The option vests on April 18, 2013. /s/ Gregory R. L. Smith, Attorney-in-Fact for Michael C. Doyle 2012-05-22