-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RCzLiEKvrteYhTUqnzrMrue1dSkN6ixRZM3DEZO6pW9jtW47dkfUaE0BgX7/WdpG hLJ9bg8D/EjymLuy7Y/YcQ== 0001209191-03-013931.txt : 20030728 0001209191-03-013931.hdr.sgml : 20030728 20030728130457 ACCESSION NUMBER: 0001209191-03-013931 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030728 FILED AS OF DATE: 20030728 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: BILLOW MATS JOHAN CENTRAL INDEX KEY: 0001247535 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26056 FILM NUMBER: 03805451 MAIL ADDRESS: STREET 1: 1600 UNIVERSITY AVENUE W. #500 CITY: ST. PAUL STATE: MN ZIP: 55104 4 1 doc4.xml FORM 4 SUBMISSION X0201 42003-07-280 0000943034 IMAGE SENSING SYSTEMS INC isns 0001247535 BILLOW MATS JOHAN 500 SPRUCE TREE CENTRE 1600 UNIVERSITY AVE. W. ST. PAUL MN 55104 0100Managing Director SubsidiaryCommon stock2003-07-254M0158001.71A21800IBerkeley Development Ltd.Common stock2003-07-254S0158007.77D6000IBerkeley Development Ltd.Non-incentive stock option1.712003-07-254C000A2003-04-152013-04-15Common stock330037500DNon-incentive stock option-variable1.712003-07-254C000A< /transactionAcquiredDisposedCode>2003-04-152013-04-15Common stock1250037500D15,800 directly owned; 6,000 indirectly owned by Berkeley Development,LtdIndirectly owned by Berkeley Development, LimitedNon-incentive Stock Option; 12,500 exercisable on 04/15/2003, 12,500 exercisable on 04/15/2004, 12,500 exercisable on 04/15/2005 and 12,500 exercisabl e on 04/15/2006 Non-incentive Stock Option-variable; 12,500 exercisable on 04/15/2003, 12,500 exercisable on 04/15/2004, 12,500 exercisable on 04/15/2005 and 12,500 exercisable on 04/15/2006. All options contingent on performance. Arthur J. Bourgeois, POA for Mats Johan Billow2003-07-28 -----END PRIVACY-ENHANCED MESSAGE-----