0000943034-19-000023.txt : 20190917 0000943034-19-000023.hdr.sgml : 20190917 20190917105025 ACCESSION NUMBER: 0000943034-19-000023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190913 FILED AS OF DATE: 20190917 DATE AS OF CHANGE: 20190917 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: 191096219 MAIL ADDRESS: STREET 1: 15411 MASON POINTE CITY: EDEN PRAIRIE STATE: MN ZIP: 55347 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 2019-09-13 0 0000943034 IMAGE SENSING SYSTEMS INC isns 0001265843 BRACKE JAMES W 1600 UNIVERSITY AVE W SUITE 500 SAINT PAUL MN 55104 1 0 0 0 Common Stock 2019-09-13 4 A 0 1296 0 A 80960 D /s/Taylor W. Watters, Attorney-in-fact for James W Bracke 2019-09-17