0001225208-19-009487.txt : 20190620
0001225208-19-009487.hdr.sgml : 20190620
20190620201344
ACCESSION NUMBER: 0001225208-19-009487
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190618
FILED AS OF DATE: 20190620
DATE AS OF CHANGE: 20190620
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Williams Julia Ann
CENTRAL INDEX KEY: 0001689618
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37941
FILM NUMBER: 19909674
MAIL ADDRESS:
STREET 1: C/O SENESTECH, INC.
STREET 2: 3140 N. CADEN COURT, SUITE 1
CITY: FLAGSTAFF
STATE: AZ
ZIP: 86004
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
2019-06-18
0001680378
SenesTech, Inc.
SNES
0001689618
Williams Julia Ann
C/O SENESTECH, INC.
3140 N. CADEN COURT, SUITE 1
FLAGSTAFF
AZ
86004
1
Common Stock
2019-06-18
4
M
0
7692.0000
0.0000
A
154779.0000
I
Julia A. Williams MD Trust
Common Stock
23750.0000
I
Flagstaff Emergency Physicians Profit Sharing Plan
Common Stock
8000.0000
I
HERO
Common Stock
5000.0000
I
Wild Erp, LLC
Restricted Stock Units
2019-06-18
4
M
0
7692.0000
0.0000
D
Common Stock
7692.0000
0.0000
D
Restricted Stock Units
2019-06-18
4
A
0
8451.0000
0.0000
A
2020-06-18
Common Stock
8451.0000
8451.0000
D
Stock Option (right to buy)
1.4200
2019-06-18
4
A
0
18535.0000
0.0000
A
2024-06-18
Common Stock
18535.0000
18535.0000
D
The restricted stock units are settled for shares of common stock on a one-for-one basis.
The reporting person disclaims beneficial ownership of these shares except to the extent of the reporting person's pecuniary interest in the shares.
Humanitarian Efforts Reaching Out, a nonprofit Arizona Corporation ("HERO"). Dr. Williams is the founder and President of HERO.
The restricted stock units vest in full on the earlier of the date of the Company's 2019 annual stockholder meeting, or the one-year anniversary of the date of grant (subject to recipient's continued service to the Company through such vesting date).
The restricted stock units vest in full on the earlier of the date of the Company's 2020 annual stockholder meeting, or the one-year anniversary of the date of grant (subject to recipient's continued service to the Company through such vesting date).
The option vests and becomes exercisable as to 25% of the total shares on the first day of each calendar quarter following the date of grant provided that any portion remaining unvested as of the one-year anniversary of the date of grant will vest as of such date (subject to recipient's continued service to the Company through such vesting dates).
/s/ William Baker as Attorney-in-Fact
2019-06-20