Dominic Phillips - 14 Dec 2021 Form 4 Insider Report for Samsara Inc. (IOT)

Role
Executive Vice President, Chief Financial Officer
Signature
/s/ Adam Eltoukhy, attorney-in-fact on behalf of Dominic Phillips
Issuer symbol
IOT
Transactions as of
14 Dec 2021
Net transactions value
$0
Form type
4
Filing time
16 Dec 2021, 19:45:51 UTC
Next filing
17 Mar 2022
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction IOT Class A Common Stock Conversion of derivative security $0 +2,410,023 $0.000000 2,410,023 14 Dec 2021 Direct F1

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
transaction IOT Class B Common Stock Award $0 +2,804,368 $0.000000 2,804,368 14 Dec 2021 Class B Common Stock 2,804,368 $0.000000 Direct F1, F2
transaction IOT Class B Common Stock Tax liability $0 -394,345 -14% $0.000000 2,410,023 14 Dec 2021 Class A Common Stock 394,345 $0.000000 Direct F1, F2, F3
transaction IOT Class B Common Stock Conversion of derivative security $0 -2,410,023 -100% $0.000000* 0 14 Dec 2021 Class A Common Stock 2,410,023 $0.000000 Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The reported shares are represented by restricted stock units, or RSUs, of which 1,243,956 vested upon the effectiveness of the Issuer's registration statement in connection with its initial public offering of Class A Common Stock and the remaining shares vest as follows: (i) 885,900 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023, (ii) 245,036 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023 and (iii) 429,476 vest in quarterly installments beginning on March 15, 2022 through March 15, 2025.
F2 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 In an exempt disposition to the Issuer under Rule 16b-3(e), the Reporting Person remitted shares to the Issuer in connection with the satisfaction of tax withholding obligations arising out of the vesting of RSUs.

Remarks:

Executive Vice President, Chief Financial Officer