0000897101-12-000844.txt : 20120524 0000897101-12-000844.hdr.sgml : 20120524 20120524162335 ACCESSION NUMBER: 0000897101-12-000844 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120524 FILED AS OF DATE: 20120524 DATE AS OF CHANGE: 20120524 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: 12867862 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 OWNERSHIP DOCUMENT X0305 4 2012-05-24 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 Common Stock 2012-05-24 4 P 0 2100 5.90 A 2100 D /s/ Gregory R. L. Smith, Attorney-in-Fact for Ken Aubrey 2012-05-24