0000899243-23-009100.txt : 20230320
0000899243-23-009100.hdr.sgml : 20230320
20230320161509
ACCESSION NUMBER: 0000899243-23-009100
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: GC Venture VIII, LLC
CENTRAL INDEX KEY: 0001764365
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41140
FILM NUMBER: 23746544
BUSINESS ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: General Catalyst Group VIII, L.P.
CENTRAL INDEX KEY: 0001663852
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41140
FILM NUMBER: 23746545
BUSINESS ADDRESS:
STREET 1: 20 UNIVERSITY ROAD
STREET 2: 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: 20 UNIVERSITY ROAD
STREET 2: 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: General Catalyst Group VIII Supplemental, L.P.
CENTRAL INDEX KEY: 0001663855
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41140
FILM NUMBER: 23746546
BUSINESS ADDRESS:
STREET 1: 20 UNIVERSITY ROAD
STREET 2: 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: 20 UNIVERSITY ROAD
STREET 2: 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: General Catalyst Group XI - Endurance, L.P.
CENTRAL INDEX KEY: 0001883723
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41140
FILM NUMBER: 23746541
BUSINESS ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: (617) 234-7000
MAIL ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GC Venture VIII-B, LLC
CENTRAL INDEX KEY: 0001786761
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41140
FILM NUMBER: 23746543
BUSINESS ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: General Catalyst Group X - Endurance, L.P.
CENTRAL INDEX KEY: 0001801515
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41140
FILM NUMBER: 23746542
BUSINESS ADDRESS:
STREET 1: 20 UNIVERSITY ROAD, 4TH FLOOR
CITY: CAMBRIDGE
STATE: MA
ZIP: 02138
BUSINESS PHONE: 617-234-7000
MAIL ADDRESS:
STREET 1: 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
0001663855
General Catalyst Group VIII Supplemental, L.P.
C/O GENERAL CATALYST PARTNERS
20 UNIVERSITY ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
0
0
1
0
0001663852
General Catalyst Group VIII, L.P.
C/O GENERAL CATALYST PARTNERS
20 UNIVERSITY ROAD 4TH FLOOR,
CAMBRIDGE
MA
02138
0
0
1
0
0001764365
GC Venture VIII, LLC
20 UNIVERSITY RD, SUITE 450,
CAMBRIDGE
MA
02138
0
0
1
0
0001786761
GC Venture VIII-B, LLC
C/O GENERAL CATALYST PARTNERS
20 UNIVERSITY ROAD 4TH FLOOR,
CAMBRIDGE
MA
02138
0
0
1
0
0001801515
General Catalyst Group X - Endurance, L.P.
C/O GENERAL CATALYST PARTNERS
20 UNIVERSITY ROAD 4TH FLOOR,
CAMBRIDGE
MA
02138
0
0
1
0
0001883723
General Catalyst Group XI - Endurance, L.P.
C/O GENERAL CATALYST PARTNERS
20 UNIVERSITY ROAD 4TH FLOOR,
CAMBRIDGE
MA
02138
0
0
1
0
0
Class A Common Stock
2023-03-15
4
C
0
11000000
0.00
A
11000000
D
Class A Common Stock
2023-03-16
4
J
0
11000000
0.00
D
0
D
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
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
D
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) Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
Effective March 16, 2023, GCGVIIIS, 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.
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"). 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.
General Catalyst Group VIII, LP, By: General Catalyst Partners VIII, L.P., Its General Partner, By: General Catalyst GP VIII, LLC, Its General Partner; By: Christopher McCain
2023-03-20
General Catalyst Group VIII Supplemental, L.P., By: General Catalyst Partners VIII, L.P., Its General Partner, By: General Catalyst GP VIII, LLC, Its General Partner; By: Christopher McCain
2023-03-20
GC Venture VIII, LLC, By: GC Venture VIII Manager, LLC, Its Manager, By: General Catalyst Group Management, LLC, Its Manager; By: Christopher McCain
2023-03-20
GC Venture VIII-B, LLC, By: GC Venture VIII-B Manager, LLC, Its Manager, By: General Catalyst Group Management, LLC, Its Manager; By: Christopher McCain
2023-03-20
General Catalyst Group X - Endurance, L.P., By: General Partner for General Catalyst Partners X - Growth Venture, L.P., By: General Catalyst GP X - Growth Venture, LLC, its General Partner, By: /s/ Christopher McCain
2023-03-20
General Catalyst Group XI - Endurance, L.P., By: General Partner for General Catalyst Partners XI - Endurance, L.P., By: General Catalyst Endurance GP XI, LLC, its General Partner, By: /s/ Christopher McCain
2023-03-20