0001225208-21-007305.txt : 20210430 0001225208-21-007305.hdr.sgml : 20210430 20210430173903 ACCESSION NUMBER: 0001225208-21-007305 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210429 FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Wolin Kim Patrice CENTRAL INDEX KEY: 0001689616 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37941 FILM NUMBER: 21880170 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 2021-04-29 0001680378 SenesTech, Inc. SNES 0001689616 Wolin Kim Patrice C/O SENESTECH, INC. 23460 N. 19TH AVE, STE 110 PHOENIX AZ 85027 1 EVP & Secretary Common Stock 2021-04-29 4 M 0 30738.0000 0.0000 A 36601.2500 I Kim Patrice Wolin Revocable Trust Common Stock 2021-04-29 4 F 0 10454.0000 1.6600 D 26147.2500 I Kim Patrice Wolin Revocable Trust Restricted Stock Units 2021-04-29 4 M 0 30738.0000 0.0000 D Common Stock 30738.0000 0.0000 D The restricted stock units are settled for shares of common stock on a one-for-one basis. The restricted stock units vest in full on the earlier of April 29, 2021 or recipient's termination of employment. /s/ Kim Patrice Wolin 2021-04-30