0000899243-23-009098.txt : 20230320 0000899243-23-009098.hdr.sgml : 20230320 20230320161250 ACCESSION NUMBER: 0000899243-23-009098 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230315 FILED AS OF DATE: 20230320 DATE AS OF CHANGE: 20230320 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Taneja Hemant CENTRAL INDEX KEY: 0001545563 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41140 FILM NUMBER: 23746510 MAIL ADDRESS: STREET 1: C/O GENERAL CATALYST STREET 2: 20 UNIVERSITY ROAD, 4TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02138 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Samsara Inc. CENTRAL INDEX KEY: 0001642896 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 473100039 STATE OF INCORPORATION: DE FISCAL YEAR END: 0128 BUSINESS ADDRESS: STREET 1: 1 DE HARO STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: (415) 985-2400 MAIL ADDRESS: STREET 1: 1 DE HARO STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 FORMER COMPANY: FORMER CONFORMED NAME: Samsara Networks Inc. DATE OF NAME CHANGE: 20150520 4 1 doc4.xml FORM 4 SUBMISSION X0407 4 2023-03-15 0 0001642896 Samsara Inc. IOT 0001545563 Taneja Hemant C/O GENERAL CATALYST PARTNERS 20 UNIVERSITY ROAD, 4TH FLOOR CAMBRIDGE MA 02138 1 0 0 0 0 Class A Common Stock 2023-03-15 4 C 0 11000000 0.00 A 11000000 I Directly held by General Catalyst Group Supplemental VIII, L.P. Class A Common Stock 2023-03-16 4 J 0 11000000 0.00 D 0 I Directly held by General Catalyst Group Supplemental VIII, L.P. Class A Common Stock 2023-03-16 4 J 0 2242473 0.00 A 2242473 I Directly held by General Catalyst Partners VIII, L.P. Class A Common Stock 2023-03-20 4 J 0 2242473 0.00 D 0 I Directly held by General Catalyst Partners VIII, L.P. Class A Common Stock 2023-03-20 4 J 0 339435 0.00 A 339435 I Directly held by GCSE VIII, L.P. Class A Common Stock 2023-03-20 4 J 0 339435 0.00 D 0 I Directly held by GCSE VIII, L.P. Class A Common Stock 454461 I Directly held by the Hemant Taneja and Jessica Schantz Taneja Revocable Trust, dated 4/19/12 Class A Common Stock 512042 I Directly held by the Hemant Taneja and Jessica Schantz Taneja Revocable Trust, dated 4/19/12 Class A Common Stock 40265 I Directly held by the Taneja Heritage Trust Class A Common Stock 2000000 I Directly held by General Catalyst Group XI - Endurance, L.P. Class B Common Stock 0.00 2023-03-15 4 C 0 11000000 0.00 D Class A Common Stock 11000000 3187815 I Directly held by General Catalyst Group VIII Supplemental, L.P. Class B Common Stock 0.00 Class A Common Stock 11187815 11187815 I Directly held by General Catalyst Group VIII, L.P. Class B Common Stock 0.00 Class A Common Stock 3943716 3943716 I Directly held by GC Venture VIII, LLC Class B Common Stock 0.00 Class A Common Stock 8588813 8588813 I Directly held by GC Venture VIII-B, LLC Class B Common Stock 0.00 Class A Common Stock 4520428 4520428 I Directly held by General Catalyst Group X - Endurance, L.P. General Catalyst Group Management Holdings GP, LLC ("GCGMH LLC") is the general partner of General Catalyst Group Management Holdings, L.P. ("GCGMH"), which is the manager of General Catalyst Group Management, LLC ("GCGM LLC"), which is (a) the manager of GC Venture VIII Manager, LLC ("GCVVIII Manager"), which is the manager of GC Venture VIII, LLC ("GCVVIII"), (b) the manager of GC Venture VIII-B Manager, LLC, which is the manager of GC Venture VIII-B, LLC ("GCVVIIIB"), (c) the manager of General Catalyst GP VIII, LLC ("GCGPVIII"), which is the general partner of General Catalyst Partners VIII, L.P. ("GCPVIII"), which is the general partner of General Catalyst Group VIII, L.P. ("GCGVIII"), (Continued from Footnote 1) GCSE VIII, L.P. ("GCSE") and General Catalyst Group VIII Supplemental, L.P. ("GCGVIIIS") and (d) the manager of General Catalyst GP X - Growth Venture, LLC, which is the general partner of General Catalyst Partners X - Growth Venture, L.P., which is the general partner of General Catalyst Group X - Endurance, L.P. ("GCGXE"). (Continued from Footnote 2) The Reporting Person is a managing member of GCGMH LLC and a director of the Issuer. Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. Effective March 16, 2023, General Catalyst Group VIII Supplemental, L.P., a venture capital partnership, distributed in-kind on a pro-rata basis, without consideration, a total of 11,000,000 shares of Class A Common Stock of the Issuer to its general and limited partners. Represents shares previously reported as held through GCGVIIIS. Effective March 20, 2023, GCPVIII, a venture capital partnership, distributed in-kind on a pro-rata basis, without consideration, a total of 2,242,473 shares of Class A Common Stock of the Issuer to its general and limited partners. Represents shares previously reported as held through GCPVIII. Effective March 20, 2023, GCSE, a venture capital partnership, distributed in-kind on a pro-rata basis, without consideration, a total of 339,435 shares of Class A Common Stock of the Issuer to its general and limited partners. Represents shares previously reported as held through GCPVIII. Represents shares previously reported as held through GCSE. Represents shares previously reported as held through GCSE. GCGMH LLC is the general partner of GCGMH, which is the manager of GCGM LLC, which is the manager of General Catalyst Endurance GP XI, LLC, which is the general partner of General Catalyst Partners XI - Endurance, L.P., which is the general partner of General Catalyst Group XI - Endurance, L.P. ("GCGXIE"). The Reporting Person is a managing member of GCGMH LLC. Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. 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. /s/ Christopher McCain, attorney-in-fact on behalf of Hemant Taneja 2023-03-20