0001209191-24-000884.txt : 20240104 0001209191-24-000884.hdr.sgml : 20240104 20240104183251 ACCESSION NUMBER: 0001209191-24-000884 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240102 FILED AS OF DATE: 20240104 DATE AS OF CHANGE: 20240104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bicket John CENTRAL INDEX KEY: 0001895106 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41140 FILM NUMBER: 24513769 MAIL ADDRESS: STREET 1: 350 RHODE ISLAND STREET STREET 2: 4TH FLOOR, SOUTH BUILDING CITY: SAN FRANCISCO STATE: CA ZIP: 94103 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Samsara Inc. CENTRAL INDEX KEY: 0001642896 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] ORGANIZATION NAME: 06 Technology IRS NUMBER: 473100039 STATE OF INCORPORATION: DE FISCAL YEAR END: 0203 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 X0508 4 2024-01-02 0 0001642896 Samsara Inc. IOT 0001895106 Bicket John C/O SAMSARA INC. 1 DE HARO STREET SAN FRANCISCO CA 94107 1 1 1 0 See remarks 1 Class A Common Stock 2024-01-02 4 C 0 19200 0.00 A 19200 I See footnote Class A Common Stock 2024-01-02 4 C 0 76800 0.00 A 76800 I See footnote Class A Common Stock 2024-01-02 4 S 0 19000 31.8046 D 200 I See footnote Class A Common Stock 2024-01-02 4 S 0 200 32.555 D 0 I See footnote Class A Common Stock 2024-01-02 4 S 0 73300 31.7187 D 3500 I See footnote Class A Common Stock 2024-01-02 4 S 0 3500 32.2343 D 0 I See footnote Class A Common Stock 273735 D Class A Common Stock 76172 I See footnote Class B Common Stock 0.00 2024-01-02 4 C 0 19200 0.00 D Class A Common Stock 19200 4447564 I See footnote Class B Common Stock 0.00 2024-01-02 4 C 0 76800 0.00 D Class A Common Stock 76800 17235364 I See footnote Class B Common Stock 0.00 Class A Common Stock 82395199 82395199 I See footnote Class B Common Stock 0.00 Class A Common Stock 1283986 1283986 I See footnote Class B Common Stock 0.00 Class A Common Stock 790328 790328 I See footnote Class B Common Stock 0.00 Class A Common Stock 790328 790328 I See footnote Class B Common Stock 0.00 Class A Common Stock 1286597 1286597 I See footnote Class B Common Stock 0.00 Class A Common Stock 250000 250000 I See footnote Class B Common Stock 0.00 Class A Common Stock 250000 250000 I See footnote Class B Common Stock 0.00 Class A Common Stock 250000 250000 I See footnote Class B Common Stock 0.00 Class A Common Stock 508547 508547 D Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I u/a/d 11/10/2021, over which the Reporting Person has voting or investment power (the "Bicket-Dobson Trust I"). Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust II u/a/d 10/8/2021, over which the Reporting Person has voting or investment power ("the Bicket-Dobson Trust II"). The sales were effected pursuant to a Rule 10b5-1 trading plan adopted by the Bicket-Dobson Trust I and the Bicket-Dobson Trust II on September 29, 2023. The "Amount" and "Price" reported in this Column 4 reflect the aggregate number and weighted-average price, respectively, of shares sold. These shares were sold in multiple transactions at prices ranging from $31.39 to $32.25, inclusive. The Reporting Person undertakes to provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. The "Amount" and "Price" reported in this Column 4 reflect the aggregate number and weighted-average price, respectively, of shares sold. These shares were sold in multiple transactions at prices ranging from $32.52 to $32.59, inclusive. The Reporting Person undertakes to provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. The "Amount" and "Price" reported in this Column 4 reflect the aggregate number and weighted-average price, respectively, of shares sold. These shares were sold in multiple transactions at prices ranging from $31.16 to $32.155, inclusive. The Reporting Person undertakes to provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. The "Amount" and "Price" reported in this Column 4 reflect the aggregate number and weighted-average price, respectively, of shares sold. These shares were sold in multiple transactions at prices ranging from $32.16 to $32.59, inclusive. The Reporting Person undertakes to provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. These securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock, subject to the applicable vesting schedule and conditions of each RSU. Consists of shares held by John C. Bicket, Trustee of the John C. Bicket Revocable Trust u/a/d 2/15/2013, over which the Reporting Person has voting or investment power. 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. Consists of shares held by John C. Bicket and CBD, Co-Trustees of the Bicket-Dobson Revocable Trust u/a/d 12/23/20, over which the Reporting Person has voting or investment power. Consists of shares held by John C. Bicket, Trustee of the John C. Bicket 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power. Consists of shares held by CBD, Trustee of the CBD 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power. Consists of shares held by the Reporting Person's spouse. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo ACDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo JCDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of the Bicket-Dobson Trust I-A u/a/d 11/10/2021, over which the Reporting Person has voting or investment power. The reported shares represent restricted stock units, of which 152,564 shares shall vest on March 15, 2024 and the remaining shares vest in quarterly installments through December 15, 2024. Executive Vice President, Chief Technology Officer /s/ Adam Eltoukhy, attorney-in-fact on behalf of John Bicket 2024-01-04