0001225208-18-012654.txt : 20180815 0001225208-18-012654.hdr.sgml : 20180815 20180815193551 ACCESSION NUMBER: 0001225208-18-012654 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180813 FILED AS OF DATE: 20180815 DATE AS OF CHANGE: 20180815 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Williams Julia Ann CENTRAL INDEX KEY: 0001689618 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37941 FILM NUMBER: 181022117 MAIL ADDRESS: STREET 1: C/O SENESTECH, INC. STREET 2: 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 2018-08-13 0001680378 SenesTech, Inc. SNES 0001689618 Williams Julia Ann C/O SENESTECH, INC. 3140 N. CADEN COURT, SUITE 1 FLAGSTAFF AZ 86004 1 Common Stock 2018-08-13 4 P 0 4000.0000 1.1500 A 8000.0000 I HERO Common Stock 2018-08-13 4 P 0 6000.0000 1.1500 A 147087.0000 I Julia A. Williams MD Trust Common Stock 2018-08-13 4 P 0 1000.0000 1.1500 A 5000.0000 I Wild Erp, LLC Common Stock 23750.0000 I Flagstaff Emergency Physicians Profit Sharing Plan The reporting person disclaims beneficial ownership of these shares except to the extent of the reporting person's pecuniary interest in the shares. Humanitarian Efforts Reaching Out, a nonprofit Arizona Corporation ("HERO"). Dr. Williams is the founder and President of HERO. /s/ William Baker as Attorney-in-Fact 2018-08-15