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