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