SEC Form 4 · accession 0001225208-17-018976
SenesTech, Inc. · SNES
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Grover T. Wickersham
Director
Period of report
Dec 18, 2017
Accepted (ET)
Dec 20, 2017 · 9:03 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 18, 2017 | A | 35,000 | $0.67 | A | 283,600 | D | |
| Common StockF2 | Dec 19, 2017 | M | 3,086 | $0.00 | A | 286,686 | D | |
| Common Stock | holding | — | — | — | 33,000 | I | GTW PC Employee Profit Sharing Plan | |
| Common Stock | holding | — | — | — | 53,500 | I | Lindsay Ann Wickersham 1999 Trust | |
| Common Stock | holding | — | — | — | 7,000 | I | Paxton Lee Shoen 1998 Education Trust | |
| Common Stock | holding | — | — | — | 5,000 | I | Wickersham Childrens 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 UnitsF2 | $0.00 | Dec 19, 2017 | M | 3,086 | D | Dec 19, 2017 | Dec 19, 2017 | Common Stock | 3,086 | 0 | D |
Explanation of responses
- F1These shares were issued to the Reporting Person in lieu of fees for services as a Board member of $23,450, pursuant to the Issuer's 2015 Equity Incentive Plan.
- F2The restricted stock units are settled for shares of common stock on a one-for-one basis.
Remarks
Exhibit 24 Power of Attorney filed herewith.