0001209191-24-001455.txt : 20240111
0001209191-24-001455.hdr.sgml : 20240111
20240111162217
ACCESSION NUMBER: 0001209191-24-001455
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240109
FILED AS OF DATE: 20240111
DATE AS OF CHANGE: 20240111
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: 24529495
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
2024-01-09
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
2024-01-09
4
C
0
960000
0.00
A
1036172
I
See footnote
Class A Common Stock
2024-01-09
4
C
0
57600
0.00
A
57600
I
See footnote
Class A Common Stock
2024-01-09
4
C
0
230400
0.00
A
230400
I
See footnote
Class A Common Stock
2024-01-09
4
S
0
86974
32.6265
D
949198
I
See footnote
Class A Common Stock
2024-01-10
4
S
0
9026
32.9039
D
940172
I
See footnote
Class A Common Stock
273735
D
Class B Common Stock
0.00
2024-01-09
4
C
0
960000
0.00
D
Class A Common Stock
960000
81435199
I
See footnote
Class B Common Stock
0.00
2024-01-09
4
C
0
57600
0.00
D
Class A Common Stock
57600
4389964
I
See footnote
Class B Common Stock
0.00
2024-01-09
4
C
0
230400
0.00
D
Class A Common Stock
230400
17004964
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 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 "Bicket Revocable Trust").
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.
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 sales were effected pursuant to a Rule 10b5-1 trading plan adopted by the Bicket Revocable Trust 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 $31.98 to $32.93, 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 $32.60 to $33.20, 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.
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
2024-01-11