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Samsara Inc. — Director's Dealing 2021
Dec 17, 2021
30267_dirs_2021-12-16_460bf625-d3b2-4f12-a30a-38b167a4674e.zip
Director's Dealing
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SEC Form 3/A — Form 3/A
Issuer: Samsara Inc. (IOT)
CIK: 0001642896
Period of Report: 2021-12-14
Reporting Person: Biswas Sanjit (Director, Chief Executive Officer, 10% Owner)
Holdings (Derivative)
| Security | Exercise Price | Expiration | Underlying | Shares | Ownership |
|---|---|---|---|---|---|
| Class B Common Stock | $ | Class A Common Stock (1286597) | Direct | ||
| Stock Option (right to buy) | $3.51 | 2029-05-08 | Class B Common Stock (1140062) | Direct | |
| Stock Option (right to buy) | $7.59 | 2030-10-14 | Class B Common Stock (3051280) | Direct | |
| Class B Common Stock | $ | Class A Common Stock (66594629) | Indirect | ||
| Series A Preferred Stock | $ | Class B Common Stock (12386955) | Indirect | ||
| Series B Preferred Stock | $ | Class B Common Stock (4629639) | Indirect | ||
| Series C Preferred Stock | $ | Class B Common Stock (1351441) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (4155371) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (15591942) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (2292432) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (2292432) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (250000) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (250000) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (250000) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (250000) | Indirect | ||
| Class B Common Stock | $ | Class A Common Stock (1286597) | Indirect |
Footnotes
F1: 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.
F2: 1/48 of the total shares subject to the Option vested on March 4, 2019 and thereafter 1/48 of the shares subject to the Option vest each month thereafter on the same day of the month.
F3: 1/48 of the total shares subject to the Option vested on November 15, 2020 and thereafter 1/48 of the shares subject to the Option vest each month thereafter on the same day of the month.
F4: The Series A, Series B and Series C Preferred Stock are each convertible into Class B Common Stock on a 1:1 basis and have no expiration date. Upon the closing of the Issuer's initial public offering, all shares of Series A, Series B and Series C Preferred Stock will be converted into shares of Class B Common Stock of the Issuer. 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.
F5: 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.
F6: 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.
F7: 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.
F8: 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.
F9: 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.
F10: 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.
F11: 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.
F12: 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.
F13: 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.
F14: Consists of shares held by Mr. Biswas's spouse.
F15: The Form 3 filed by the Reporting Person on December 14, 2021 erroneously overstated the number of shares of Series C Preferred Stock held by the Reporting Person.
F16: The Form 3 filed by the Reporting Person on December 14, 2021 erroneously overstated the number of shares of Class B Common Stock held by the Reporting Person.