SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Mayer Loretta Powers

(Last) (First) (Middle)
3140 N. CADEN COURT, #1

(Street)
FLAGSTAFF AZ 86004

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
SenesTech, Inc. [ SNES ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
CEO & Chief Scientific Officer
3. Date of Earliest Transaction (Month/Day/Year)
06/30/2017
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 06/30/2017 M 73,333(1) A (1) 431,710 D
Common Stock 06/30/2017 F 23,052(1) D $5.94(1) 408,658 D
Common Stock 100,000 I 2016 Dyer Mayer Family Delaware Trust
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Units (2) 06/30/2017 M 73,333 06/30/2017 06/30/2020 Common Stock 73,333 $0 146,667 D
Explanation of Responses:
1. These shares of Common Stock were acquired upon settlement of restricted stock units ("RSUs") granted to the reporting person on June 30, 2016. The RSUs vest over a three-year period, with one-third of the units vesting on June 30, 2017 and the remaining units vesting in equal quarterly tranches over the following twenty-four months of continuous service. On June 30, 2017, the RSUs partially settled for 50,281 shares of Common Stock, the amount of which was calculated by (a) 73,333 shares of Common Stock, the total number of shares of common stock subject to the RSUs that have vested as of June 30, 2017, less (b) 23,052 shares of Common Stock, which is the number of shares of Common Stock necessary for tax payments to be made on the reporting person's behalf per the terms of the agreement governing the RSUs.
2. This transaction represents the settlement of RSUs as described in Footnote 1. One-third of the RSUs vested on June 30, 2017 and was settled for 50,281 shares of Common Stock.
Remarks:
/s/ Loretta Powers Mayer 07/05/2017
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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