SEC Form 4 · accession 0001144204-17-006263
SenesTech, Inc. · SNES
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Julia Ann Williams
Director
Period of report
Feb 2, 2017
Accepted (ET)
Feb 6, 2017 · 5:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001680378
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Feb 2, 2017 | G | 4,000 | $0.00 | D | 100,765 | I | Trustee of Julia A. Williams MD Trust |
| Common StockF2,F3 | Feb 2, 2017 | G | 4,100 | $0.00 | D | 96,665 | I | Trustee of Julia A. Williams MD Trust |
| Common StockF4 | Feb 2, 2017 | G | 4,000 | $0.00 | A | 4,000 | I | Founder and President of HERO |
| Common Stock | holding | — | — | — | 1,950 | D | ||
| Common Stock | holding | — | — | — | 1,000 | I | Trustee of Flagstaff Emergency Physicians Profit Sharing Plan | |
| Common Stock | holding | — | — | — | 4,000 | I | Owner of Wild Erp, LLC |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reports a gift of shares to Humanitarian Efforts Reaching Out (HERO), a nonprofit Arizona corporation ("HERO"). Dr. Williams is the founder and President of HERO.
- F2Reports gifts of shares to eight separate individuals in the aggregate amount of 4,100 shares of common stock.
- F3One additional share is reported as indirectly held by the Julia A. Williams MD Trust, which is a correction due to an inadvertent rounding error, not previously reported.
- F4The reporting person disclaims beneficial ownership of these shares except to the extent of the reporting person's pecuniary interest in the shares.