SEC Form 4 · accession 0001225208-17-019010
SenesTech, Inc. · SNES
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Julia Ann Williams
Director
Period of report
Dec 19, 2017
Accepted (ET)
Dec 21, 2017 · 6:31 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 Stock | holding | — | — | — | 23,750 | I | Flagstaff Emergency Physicians Profit Sharing Plan | |
| Common Stock | holding | — | — | — | 4,000 | I | HERO Trust | |
| Common Stock | holding | — | — | — | 97,262 | I | Julia A. Williams MD Trust | |
| Common Stock | holding | — | — | — | 4,000 | I | Wild Erp, LLC |
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,F2 | $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.
- F2The restricted stock units vest in full on the one-year anniversary of the date of grant (subject to recipient's continued service to the Company through such vesting date).