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