0001209191-24-001461.txt : 20240111 0001209191-24-001461.hdr.sgml : 20240111 20240111162402 ACCESSION NUMBER: 0001209191-24-001461 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: Biswas Sanjit CENTRAL INDEX KEY: 0001895111 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41140 FILM NUMBER: 24529507 MAIL ADDRESS: STREET 1: 350 RHODE ISLAND STREET STREET 2: 4TH FLOOR, SOUTH BUILDING CITY: SAN FRANSCISO 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 0001895111 Biswas Sanjit C/O SAMSARA INC. 1 DE HARO STREET SAN FRANCISCO CA 94107 1 1 1 0 Chief Executive Officer 1 Class A Common Stock 2024-01-09 4 C 0 960000 0.00 A 1042335 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 87127 32.6344 D 955208 I See footnote Class A Common Stock 2024-01-10 4 S 0 8873 32.91 D 946335 I See footnote Class A Common Stock 1250634 D Class B Common Stock 0.00 2024-01-09 4 C 0 960000 0.00 D Class A Common Stock 960000 82519378 I See footnote Class B Common Stock 0.00 2024-01-09 4 C 0 57600 0.00 D Class A Common Stock 57600 4078571 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 790328 790328 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 250000 250000 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 790328 790328 I See footnote Class B Common Stock 0.00 Class A Common Stock 422094 422094 D Consists of shares held by SB and HB, Co-Trustees of the Biswas Family Trust u/a/d 7/13/2012, over which the Reporting Person has voting or investment power (the "Biswas Family Trust"). Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I u/a/d 11/11/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust II u/a/d 10/14/2021, 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 Biswas Family 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 $32.97, 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 range 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 $32.61 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 range 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 Sanjit Biswas, Trustee of the Sanjit Biswas 2023 Annuity Trust u/a/d 1/16/2023, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A u/a/d 11/11/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo REB u/a/d 11/11/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo NAmB u/a/d 11/11/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo NAlB u/a/d 11/11/2021, 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 HB, Trustee of the HB 2023 Annuity Trust u/a/d 1/16/2023, over which the Reporting Person has voting or investment power. The reported shares represent restricted stock units, of which 126,628 shares shall vest on March 15, 2024 and the remaining shares vest in quarterly installments through December 15, 2024. /s/ Adam Eltoukhy, attorney-in-fact on behalf of Sanjit Biswas 2024-01-11