Sec Form 3 Filing - Wolin Kim Patrice @ SenesTech, Inc. - 2019-06-17

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Wolin Kim Patrice
2. Issuer Name and Ticker or Trading Symbol
SenesTech, Inc. [ SNES]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
EVP & Secretary
(Last) (First) (Middle)
C/O SENESTECH, INC., 3140 N. CADEN COURT, SUITE 1
3. Date of Earliest Transaction (MM/DD/YY)
06/17/2019
(Street)
FLAGSTAFF, AZ86004
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 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 117,265 I Kim Patrice Wolin Revocable 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 (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 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
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(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 of Derivative Security: 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
Stock Option (right to buy) $ 0.5 01/06/2016( 1 ) 11/16/2025 Common Stock 105,000 D
Stock Option (right to buy) $ 0.5 07/03/2016( 2 ) 07/03/2025 Common Stock 20,000 D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Wolin Kim Patrice
C/O SENESTECH, INC.
3140 N. CADEN COURT, SUITE 1
FLAGSTAFF, AZ86004
EVP & Secretary
Signatures
/s/ William Baker as Attorney-in-Fact 06/27/2019
Signature of Reporting Person Date
Explanation of Responses:
( 1 )55,000 shares subject to the option vested on January 6, 2016 and an additional 25,000 vested on each of May 7, 2016 and May 7, 2017, subject to continuous service.
( 2 )Date at which first vesting occurs is indicated. One-fourth of the total shares subject to the option vested on the first vesting date with the remaining portion vesting in equal monthly tranches over the next 36 months of continuous service.

Remarks:
Exhibit 24 Power of Attorney filed herewith.

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).
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