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Samsara Inc. — Director's Dealing 2021
Dec 22, 2021
30267_dirs_2021-12-21_6dc0cea8-305c-4df6-a982-6774d95662c1.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: McCall Andy (See remarks)
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2021-12-17 | Series B Preferred Stock | $0.00 | C | 1323000 | Disposed | Class B Common Stock (1323000) | Direct | |
| 2021-12-17 | Class B Common Stock | $0.00 | C | 1323000 | Acquired | Class A Common Stock (1323000) | Direct |
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Class B Common Stock | $0.00 | Class A Common Stock (5020001) | 5020001 | Indirect | |
| Class B Common Stock | $0.00 | Class A Common Stock (1673333) | 1673333 | Indirect | |
| Class B Common Stock | $0.00 | Class A Common Stock (836666) | 836666 | Indirect | |
| Class B Common Stock | $0.00 | Class A Common Stock (836666) | 836666 | Indirect |
Footnotes
F1: Each share of Series B 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 JAM and BAM, Co-Trustees of The JAM and BAM Joint Living Trust u/a/d 6/30/2009, over which Mr. McCall has voting or investment power.
F3: Consists of shares held by JAM and BAM, Co-Trustees of The McCall 2020 Irrevocable Children's Trust u/a/d 8/7/2020, over which Mr. McCall has voting or investment power.
F4: Consists of shares held by James Andrew McCall III, Trustee of The James Andrew McCall III 2020 Annuity Trust u/a/d 8/7/2020, over which Mr. McCall has voting or investment power.
F5: Consists of shares held by BAM, Trustee of The BAM 2020 Annuity Trust u/a/d 8/7/2020, over which Mr. McCall 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.