0001225208-21-007647.txt : 20210505 0001225208-21-007647.hdr.sgml : 20210505 20210505173045 ACCESSION NUMBER: 0001225208-21-007647 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210503 FILED AS OF DATE: 20210505 DATE AS OF CHANGE: 20210505 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL KENNETH S CENTRAL INDEX KEY: 0001167024 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37941 FILM NUMBER: 21894727 MAIL ADDRESS: STREET 1: 40 STARWOOD HOTELS & RESORTS STREET 2: 111 WESTCHESTER AVE CITY: WHITE PLAINS STATE: NY ZIP: 10604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SenesTech, Inc. CENTRAL INDEX KEY: 0001680378 STANDARD INDUSTRIAL CLASSIFICATION: AGRICULTURE CHEMICALS [2870] IRS NUMBER: 202079805 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3140 N. CADEN COURT STREET 2: SUITE 1 CITY: FLAGSTAFF STATE: AZ ZIP: 86004 BUSINESS PHONE: (928) 779 - 4143 MAIL ADDRESS: STREET 1: 3140 N. CADEN COURT STREET 2: SUITE 1 CITY: FLAGSTAFF STATE: AZ ZIP: 86004 4 1 doc4.xml X0306 4 2021-05-03 0001680378 SenesTech, Inc. SNES 0001167024 SIEGEL KENNETH S C/O SENESTECH, INC. 23460 N. 19TH AVE, STE 110 PHOENIX AZ 85027 1 1 CEO Stock Option (right to buy) 1.5900 2021-05-03 4 A 0 120000.0000 0.0000 A 2021-06-30 2026-05-03 Common Stock 120000.0000 120000.0000 D Date at which first vesting occurs is indicated. 1/12th of the total stock option granted vests on the first vesting date and an additional 1/12th will vest on the last day of each quarter thereafter, with 100% of the stock option fully vested on March 31, 2024. /s/ Kenneth S Siegel 2021-05-04