Adam Eltoukhy - 14 Dec 2021 Form 4 Insider Report for Samsara Inc. (IOT)

Role
VP, General Counsel & Secretary
Signature
/s/ Adam Eltoukhy
Issuer symbol
IOT
Transactions as of
14 Dec 2021
Net transactions value
$0
Form type
4
Filing time
16 Dec 2021, 19:50:25 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 +517,674 $0.000000 517,674 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 +517,674 $0.000000 517,674 14 Dec 2021 Class B Common Stock 517,674 $0.000000 Direct F1, F2
transaction IOT Class B Common Stock Conversion of derivative security $0 -517,674 -100% $0.000000* 0 14 Dec 2021 Class A Common Stock 517,674 $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 223,392 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) 41,909 vest in quarterly installments beginning on March 15, 2022 through December 15, 2022, (ii) 14,823 vest in quarterly installments beginning on March 15, 2022 through September 15, 2023, (iii) 7,913 vest in quarterly installments beginning on March 15, 2022 through December 15, 2024 and (iv) 229,637 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.

Remarks:

VP, General Counsel & Secretary