0001225208-21-009706.txt : 20210629 0001225208-21-009706.hdr.sgml : 20210629 20210629183209 ACCESSION NUMBER: 0001225208-21-009706 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210625 FILED AS OF DATE: 20210629 DATE AS OF CHANGE: 20210629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Chiavarini Delphine Francois CENTRAL INDEX KEY: 0001744264 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37941 FILM NUMBER: 211059585 MAIL ADDRESS: STREET 1: 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 2021-06-25 0001680378 SenesTech, Inc. SNES 0001744264 Chiavarini Delphine Francois C/O SENESTECH, INC. 23460 N. 19TH AVE, STE 110 PHOENIX AZ 85027 1 Stock Option (right to buy) 1.6600 2021-06-25 4 A 0 45368.0000 0.0000 A 2026-06-25 Common Stock 45368.0000 45368.0000 D 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, with 100% of the options fully vested on earlier of the first anniversary of the grant date or the first annual meeting of stockholders of the Company after the grant date (subject to the recipient's continued service to the Company through such vesting date). /s/ Thomas C. Chesterman, Attorney-in-fact 2021-06-29