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Samsara Inc. — Director's Dealing 2021
Dec 22, 2021
30267_dirs_2021-12-21_d18369d4-5935-4438-b069-6cfd9232a07a.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: Samsara Inc. (IOT)
CIK: 0001642896
Period of Report: 2021-12-17
Reporting Person: Calderon Benjamin (See remarks)
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2021-12-17 | Series A Preferred Stock | $0.00 | C | 271761 | Disposed | Class B Common Stock (271761) | Direct | |
| 2021-12-17 | Class B Common Stock | $0.00 | C | 271761 | Acquired | Class A Common Stock (271761) | Direct |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Class B Common Stock | $0.00 | Class A Common Stock (908700) | 908700 | Indirect | |
| Class B Common Stock | $0.00 | Class A Common Stock (908700) | 908700 | Indirect | |
| Class B Common Stock | $0.00 | Class A Common Stock (908700) | 908700 | Indirect | |
| Class B Common Stock | $0.00 | Class A Common Stock (290000) | 290000 | Indirect |
Footnotes
F1: Each share of Series A Preferred Stock automatically converted into Class B Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. The Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a 1:1 basis.
F2: Consists of shares held by Fall MC, LLC, over which Mr. Calderon has voting or investment power.
F3: Consists of shares held by Summer NC, LLC, over which Mr. Calderon has voting or investment power.
F4: Consists of shares held by Winter EC, LLC, over which Mr. Calderon has voting or investment power.
F5: Consists of shares held by CH 2021 GRAT, over which Mr. Calderon has voting or investment power.
F6: The Class B Common Stock is convertible at any time, at the holder's election, into Class A Common Stock on a 1:1 basis and has no expiration date.