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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.