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