0001209191-23-059269.txt : 20231219 0001209191-23-059269.hdr.sgml : 20231219 20231219200318 ACCESSION NUMBER: 0001209191-23-059269 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231215 FILED AS OF DATE: 20231219 DATE AS OF CHANGE: 20231219 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: 231499071 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 2023-12-15 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 0 Class A Common Stock 2023-12-15 4 C 0 152564 0.00 A 531572 D Class A Common Stock 2023-12-15 4 S 0 35713 33.5268 D 495859 D Class A Common Stock 2023-12-15 4 S 0 49971 34.1155 D 445888 D Class A Common Stock 2023-12-15 4 S 0 5539 35.028 D 440349 D Class A Common Stock 83839 I See footnote Class B Common Stock 2023-12-15 4 M 0 152564 0.00 D Class B Common Stock 152564 508547 D Class B Common Stock 0.00 2023-12-15 4 M 0 152564 0.00 A Class A Common Stock 152564 152564 D Class B Common Stock 0.00 2023-12-15 4 C 0 152564 0.00 D Class A Common Stock 152564 0 D Class B Common Stock 0.00 Class A Common Stock 83141467 83141467 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 17312164 17312164 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 4466764 4466764 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 Certain of 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. These shares were disposed of in non-discretionary transactions to cover the Reporting Person's tax withholding obligations in connection with the settlement of awards of RSUs. 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 $32.745 to $33.74, 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 $33.75 to $34.73, 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 $34.765 to $35.63, 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 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 reported shares represent RSUs, of which 152,564 shares vested on December 15, 2023 and the remaining shares vest in quarterly installments through December 15, 2024. Each RSU represents a contingent right to receive one share of Class B Common Stock. 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 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. 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 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 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. Executive Vice President, Chief Technology Officer /s/ Adam Eltoukhy, attorney-in-fact on behalf of John Bicket 2023-12-19