-----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, HwmjFOAfq/E2JWkitMPeVcgCum0pAnm7cLhGvOpL59XW+cnTk3fZoEm3rrQklLXj lC6ZfTnWnj2eBkISNtWrnA== 0001247536-04-000001.txt : 20041222 0001247536-04-000001.hdr.sgml : 20041222 20041222194751 ACCESSION NUMBER: 0001247536-04-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041220 FILED AS OF DATE: 20041222 DATE AS OF CHANGE: 20041222 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: ELEFTHERIOU MICHAEL CENTRAL INDEX KEY: 0001247536 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-26056 FILM NUMBER: 041222164 MAIL ADDRESS: STREET 1: 1600 UNIVERSITY AVENUE W. #500 CITY: ST. PAUL STATE: MN ZIP: 55104 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-12-20 0 0000943034 IMAGE SENSING SYSTEMS INC isns 0001247536 ELEFTHERIOU MICHAEL 1600 UNIVERSITY AVENUE W. #500 ST. PAUL MN 55104 1 0 0 0 Common stock 2004-12-20 4 M 0 2000 1.4 A 2000 D Common Stock 2004-12-20 4 S 0 2000 14 D 0 D Non-Incentive Stock Option 1.4 2004-12-20 4 M 0 2000 0 D 2003-05-18 2002-05-18 Common 30000 28000 D Kathleen McMahon POA for Michael Eletheriou 2004-12-22 -----END PRIVACY-ENHANCED MESSAGE-----