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Samsara Inc. Director's Dealing 2021

Dec 22, 2021

30267_dirs_2021-12-21_2d25d630-ed5b-4085-963f-420ddfbe7528.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: Biswas Sanjit (Director, Chief Executive Officer, 10% Owner)

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2021-12-17 Series A Preferred Stock $0.00 C 12386955 Disposed Class B Common Stock (12386955) Direct
2021-12-17 Class B Common Stock $0.00 C 12386955 Acquired Class A Common Stock (12386955) Indirect
2021-12-17 Series B Preferred Stock $0.00 C 4629639 Disposed Class B Common Stock (4629639) Indirect
2021-12-17 Class B Common Stock $0.00 C 4629639 Acquired Class A Common Stock (4629639) Indirect
2021-12-17 Series C Preferred Stock $0.00 C 1351441 Disposed Class B Common Stock (1351441) Indirect
2021-12-17 Class B Common Stock $0.00 C 1351441 Acquired Class A Common Stock (1351441) Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Class B Common Stock $0.00 Class A
Common
Stock (1286597) 1286597 Direct
Class B Common Stock $0.00 Class A
Common
Stock (4155371) 4155371 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (15591942) 15591942 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (2292432) 2292432 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (2292432) 2292432 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (250000) 250000 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (250000) 250000 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (250000) 250000 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (250000) 250000 Indirect
Class B Common Stock $0.00 Class A
Common
Stock (1286597) 1286597 Indirect

Footnotes

F1: Each share of Series A Preferred Stock, Series B Preferred Stock and Series C 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 SB and HB, Co-Trustees of the Biswas Family Trust u/a/d 7/13/2012, over which Mr. Biswas has voting or investment power.

F3: Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.

F4: Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust II u/a/d 10/14/2021, over which Mr. Biswas has voting or investment power.

F5: Consists of shares held by HB, Trustee of The HB 2020 Annuity Trust u/a/d 12/2/2020, over which Mr. Biswas has voting or investment power.

F6: Consists of shares held by Sanjit Biswas, Trustee of The Sanjit Biswas 2020 Annuity Trust u/a/d 12/2/2020, over which Mr. Biswas has voting or investment power.

F7: Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.

F8: Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo REB u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.

F9: Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo NAmB u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.

F10: Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo NAlB u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.

F11: Consists of shares held by Mr. Biswas' spouse.

F12: 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.