0000897101-13-001843.txt : 20131209 0000897101-13-001843.hdr.sgml : 20131209 20131209151943 ACCESSION NUMBER: 0000897101-13-001843 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20131206 FILED AS OF DATE: 20131209 DATE AS OF CHANGE: 20131209 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BRACKE JAMES W CENTRAL INDEX KEY: 0001265843 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35959 FILM NUMBER: 131265452 MAIL ADDRESS: STREET 1: 15411 MASON POINTE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 4 1 iss135089bracke_4.xml FORM 4 X0306 4 2013-12-06 0 0000943034 IMAGE SENSING SYSTEMS INC ISNS 0001265843 BRACKE JAMES W 1600 UNIVERSITY AVE W #500 ST PAUL MN 55104 1 0 0 0 Common Stock 2013-12-06 4 A 0 1215 0 A 6416 D /s/ Richard A. Ehrich, Attorney-in-Fact for James W. Bracke 2013-12-09