0001144204-16-140797.txt : 20161221 0001144204-16-140797.hdr.sgml : 20161221 20161221210735 ACCESSION NUMBER: 0001144204-16-140797 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161219 FILED AS OF DATE: 20161221 DATE AS OF CHANGE: 20161221 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Szot Matthew K CENTRAL INDEX KEY: 0001401385 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37941 FILM NUMBER: 162064962 MAIL ADDRESS: STREET 1: P.O. BOX 235 CITY: FIVE POINTS STATE: CA ZIP: 93624 4 1 v455545_4.xml OWNERSHIP DOCUMENT X0306 4 2016-12-19 0 0001680378 SenesTech, Inc. SNES 0001401385 Szot Matthew K 3140 NORTH CADEN COURT, #1 FLAGSTAFF AZ 86004 1 0 0 0 Restricted Stock Units 2016-12-19 4 A 0 3086 0 A Common Stock 3086 3086 D Stock Option (right to buy) 8.10 2016-12-19 4 A 0 20000 0 A 2021-12-19 Common Stock 20000 20000 D The restricted stock units ("RSUs") may be settled for that number of shares of Common Stock equal to $25,000 divided by the closing market price of the Common Stock on the date of grant, December 19, 2016, which was $8.10, for a total of 3,086 shares of Common Stock. The restricted stock units will vest on the one year anniversary of the date of grant. Vested shares of Common Stock will be delivered to the reporting person promptly following settlement per the terms of the agreement governing the RSUs. The option becomes vested and exercisable in four equal quarterly installments, beginning on January 1, 2017. /s/ Matthew K. Szot 2016-12-21