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

Role
Executive Vice President, Chief Technology Officer, Hardware and Operations Power of Attorney
Signature
/s/ Adam Eltoukhy, attorney-in-fact on behalf of Benjamin Calderon
Stock symbol
IOT
Transactions as of
Dec 14, 2021
Transactions value $
$0
Form type
3
Date filed
12/14/2021, 08:11 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 Class B Common Stock Dec 14, 2021 Class A Common Stock 9.43M Direct F1
holding IOT Series A Preferred Stock Dec 14, 2021 Class B Common Stock 272K Direct F1, F2
holding IOT Class B Common Stock Dec 14, 2021 Class A Common Stock 909K See footnote F1, F3
holding IOT Class B Common Stock Dec 14, 2021 Class A Common Stock 909K See footnote F1, F4
holding IOT Class B Common Stock Dec 14, 2021 Class A Common Stock 909K See footnote F1, F5
holding IOT Class B Common Stock Dec 14, 2021 Class A Common Stock 290K See footnote F1, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 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 and has no expiration date.
F2 The Series A Preferred Stock is convertible into Class B Common Stock on a 1:1 basis and has no expiration date. Upon the closing of the Issuer's initial public offering, all shares of Series A 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.
F3 Consists of shares held by Fall MC, LLC, over which Mr. Calderon has voting or investment power.
F4 Consists of shares held by Summer NC, LLC, over which Mr. Calderon has voting or investment power.
F5 Consists of shares held by Winter EC, LLC, over which Mr. Calderon has voting or investment power.
F6 Consists of shares held by CH 2021 GRAT, over which Mr. Calderon has voting or investment power.

Remarks:

Executive Vice President, Chief Technology Officer, Hardware and Operations Power of Attorney