- Initial Statement of Beneficial Ownership (3)
March 12 2012 - 2:20PM
Edgar (US Regulatory)
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FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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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
*
Klaver Paul Edward
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2. Date of Event Requiring Statement (MM/DD/YYYY)
3/12/2012
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3. Issuer Name
and
Ticker or Trading Symbol
SENESCO TECHNOLOGIES INC [SNT]
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(Last)
(First)
(Middle)
134 COLUMBIA STREET W., UNIT 18
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
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X
___ 10% Owner
_____ Officer (give title below)
_____ Other (specify below)
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(Street)
WATERLOO, A6 N2L 3K8
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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10146527
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D
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Common Stock
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206300
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I
(1)
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By spouse
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Warrants
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(2)
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4/1/2015
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Common
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625000
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$0.35
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D
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Warrants
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7/12/2012
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1/12/2017
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Common
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1875000
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$0.286
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D
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Warrants
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9/6/2012
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3/6/2017
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Common
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1923077
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$0.286
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D
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Convertible Preferred Stock
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(3)
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(3)
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Common
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200
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$0.26
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D
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Explanation of Responses:
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(
1)
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Mr. Klaver indirectly owns shares that are beneficially owned directly by Mr. Klaver's spouse for which Mr. Klaver disclaims beneficial ownership.
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(
2)
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The Warrants are convertible at any time, at the holder's election.
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(
3)
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The Convertible Preferred Stock is convertible at any time, at the holder's election, and has no expiration date. Each share of Convertible Preferred Stock is convertible into 3,846 shares of Common Stock.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Klaver Paul Edward
134 COLUMBIA STREET W.
UNIT 18
WATERLOO, A6 N2L 3K8
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X
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Signatures
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/s/ Paul Edward Klaver
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3/12/2012
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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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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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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