0000943034-21-000016.txt : 20210617
0000943034-21-000016.hdr.sgml : 20210617
20210617123233
ACCESSION NUMBER: 0000943034-21-000016
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210615
FILED AS OF DATE: 20210617
DATE AS OF CHANGE: 20210617
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: 211023973
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: 400 SPRUCE TREE CENTRE
STREET 2: 1600 UNIVERSITY AVE
CITY: ST PAUL
STATE: MN
ZIP: 55104-3825
BUSINESS PHONE: 6516037700
MAIL ADDRESS:
STREET 1: 400 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
2021-06-15
0
0000943034
IMAGE SENSING SYSTEMS INC
isns
0001265843
BRACKE JAMES W
1600 UNIVERSITY AVE W
SUITE 400
SAINT PAUL
MN
55104
1
0
0
0
Common Stock
2021-06-15
4
A
0
882
0
A
91662
D
/s/ Taylor W. Watters, Attorney-in-fact for James W Bracke
2021-06-17