Hemant Taneja - Dec 14, 2021 Form 3 Insider Report for Samsara Inc. (IOT)

Role
Director, 10%+ Owner
Signature
/s/ Christopher McCain, attorney-in-fact on behalf of Hemant Taneja
Stock symbol
IOT
Transactions as of
Dec 14, 2021
Transactions value $
$0
Form type
3
Date filed
12/14/2021, 08:09 PM
Next filing
Dec 21, 2021

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding IOT Series C Preferred Stock Dec 14, 2021 Class B Common Stock 21.2M See footnotes F1, F2, F3, F4
holding IOT Series D Preferred Stock Dec 14, 2021 Class B Common Stock 5M See footnotes F1, F2, F3, F5
holding IOT Series E Preferred Stock Dec 14, 2021 Class B Common Stock 5.63M See footnotes F1, F2, F3, F6
holding IOT Series F Preferred Stock Dec 14, 2021 Class B Common Stock 13.6M See footnotes F1, F2, F3, F7
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The Series C, Series D, Series E and Series F Preferred Stock are each convertible into Class B Common Stock on a 1:1 basis and have no expiration date. Upon the closing of the Issuer's initial public offering, all shares of Series C, Series D, Series E and Series F Preferred Stock will be converted into shares of Class B Common Stock of the Issuer. 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
F2 General Catalyst Group Management Holdings GP, LLC ("GCGMH LLC") is the general partner of General Catalyst Group Management Holdings, L.P., which is the manager of General Catalyst Group Management, LLC, which is (a) the manager of GC Venture VIII Manager, LLC, which is the manager of GCVVIII, (b) the manager of GC Venture VIII-B Manager, LLC, which is the manager of GCVVIIIB, (c) the manager of General Catalyst GP VIII, LLC ("GCGPVIII"), which is the general partner of General Catalyst Partners VIII, L.P., which is the general partner of GCGVIII and GCGVIIIS and
F3 (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 GCGXE. Kenneth Chenault, Joel Cutler, David Fialkow and Hemant Taneja are managing members of GCGMH LLC, and, as a result, may be deemed to share voting and investment power with respect to the shares held by GCVVIII, GCVVIIIB, GCGVIIIS, GCGVIII and GCGXE. Each party named above disclaims beneficial ownership of such shares.
F4 Consists of 10,616,172 shares held of record by General Catalyst Group VIII Supplemental, L.P. and 10,616,172 shares held of record by General Catalyst Group VIII, L.P.
F5 Consists of 2,500,540 shares held of record by General Catalyst Group VIII Supplemental, L.P. and 2,500,540 shares held of record by General Catalyst Group VIII, L.P.
F6 Consists of 3,943,716 shares held of record by GC Venture VIII, LLC, 845,082 shares held of record by General Catalyst Group VIII Supplemental, L.P. and 845,082 shares held of record by General Catalyst Group VIII, L.P.
F7 Consists of 8,588,813 shares held of record by GC Venture VIII-B, LLC, 226,021 shares held of record by General Catalyst Group VIII Supplemental, L.P., 226,021 shares held of record by General Catalyst Group VIII, L.P. and 4,520,428 shares held of record by General Catalyst Group X - Endurance, L.P.

Remarks:

Power of Attorney