SEC Form 4 · accession 0001225208-17-018974
SenesTech, Inc. · SNES
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Matthew K Szot
Director
Period of report
Dec 18, 2017
Accepted (ET)
Dec 20, 2017 · 8:08 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 | Dec 19, 2017 | M | 3,086 | $0.00 | A | 3,086 | D | |
| Common StockF2 | Dec 18, 2017 | A | 22,388 | $0.67 | A | 56,388 | I | Szot Family Trust |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF1 | $0.00 | Dec 19, 2017 | M | 3,086 | D | Dec 19, 2017 | Dec 19, 2017 | Common Stock | 3,086 | 0 | D |
Explanation of responses
- F1The restricted stock units are settled for shares of common stock on a one-for-one basis.
- F2These shares were issued to the Reporting Person in lieu of fees for services as a Board member of $15,000, pursuant to the Issuer's 2015 Equity Incentive Plan.
Remarks
Exhibit 24 Power of Attorney filed herewith.