Benjamin Calderon - 14 Dec 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
Issuer symbol
IOT
Transactions as of
14 Dec 2021
Net transactions value
$0
Form type
3
Filing time
14 Dec 2021, 20:11:20 UTC
Next filing
21 Dec 2021
SEC
View on sec.gov

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 14 Dec 2021 Class A Common Stock 9,427,242 Direct F1
holding IOT Series A Preferred Stock 14 Dec 2021 Class B Common Stock 271,761 Direct F1, F2
holding IOT Class B Common Stock 14 Dec 2021 Class A Common Stock 908,700 See footnote F1, F3
holding IOT Class B Common Stock 14 Dec 2021 Class A Common Stock 908,700 See footnote F1, F4
holding IOT Class B Common Stock 14 Dec 2021 Class A Common Stock 908,700 See footnote F1, F5
holding IOT Class B Common Stock 14 Dec 2021 Class A Common Stock 290,000 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