0000943034-19-000005.txt : 20190319 0000943034-19-000005.hdr.sgml : 20190319 20190319114255 ACCESSION NUMBER: 0000943034-19-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190315 FILED AS OF DATE: 20190319 DATE AS OF CHANGE: 20190319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Davis Geoffrey Clark CENTRAL INDEX KEY: 0001689088 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35959 FILM NUMBER: 19690688 MAIL ADDRESS: STREET 1: 1929 WEDGEWOOD LANE CITY: HEBRON STATE: KY ZIP: 41048 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 primary_doc.xml PRIMARY DOCUMENT X0306 4 2019-03-15 0 0000943034 IMAGE SENSING SYSTEMS INC isns 0001689088 Davis Geoffrey Clark 1600 UNIVERSITY AVE W SUITE 500 SAINT PAUL MN 55104 1 0 0 0 Common Stock 2019-03-15 4 A 0 1250 0 A 17741 D /s/ Todd C. Slawson, Attorney-in-fact for Geoffrey C. Davis 2019-03-19