Andy McCall - 14 Dec 2021 Form 4 Insider Report for Samsara Inc. (IOT)

Role
Executive Vice President, Chief Revenue Officer
Signature
/s/ Adam Eltoukhy, attorney-in-fact on behalf of Andy McCall
Issuer symbol
IOT
Transactions as of
14 Dec 2021
Net transactions value
$0
Form type
4
Filing time
16 Dec 2021, 19:47:33 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
transaction IOT Class B Common Stock Award $0 +1,700,000 $0.000000 1,700,000 14 Dec 2021 Class B Common Stock 1,700,000 $0.000000 Direct F1, F2
transaction IOT Class B Common Stock Tax liability $0 -110,998 -6.5% $0.000000 1,589,002 14 Dec 2021 Class A Common Stock 110,998 $0.000000 Direct F1, F2, F3
* 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 495,833 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 in quarterly installments beginning on March 15, 2022 through December 15, 2024.
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 Revenue Officer