Andreessen Horowitz LSV Fund III, L.P. - Dec 17, 2021 Form 4 Insider Report for Samsara Inc. (IOT)

Role
10%+ Owner
Signature
Andreessen Horowitz LSV Fund III, L.P., By: AH Equity Partners LSV III, L.L.C., Its: General Partner, By: /s/ Scott Kupor, Scott Kupor, Chief Operating Officer
Stock symbol
IOT
Transactions as of
Dec 17, 2021
Transactions value $
$91,899,996
Form type
4
Date filed
12/21/2021, 08:56 PM
Next filing
Sep 8, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction IOT Class A Common Stock Purchase $91.9M +4M $23.00 4M Dec 17, 2021 By Andreessen Horowitz LSV Fund III, L.P. F1, F2

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 Series A Preferred Stock Conversion of derivative security $0 -40.5M -100% $0.00* 0 Dec 17, 2021 Class B Common Stock 40.5M By Andreessen Horowitz Fund IV, L.P F3, F4
transaction IOT Class B Common Stock Conversion of derivative security $0 +40.5M $0.00 40.5M Dec 17, 2021 Class A Common Stock 40.5M By Andreessen Horowitz Fund IV, L.P F3, F4
transaction IOT Series B Preferred Stock Conversion of derivative security $0 -9.26M -100% $0.00* 0 Dec 17, 2021 Class B Common Stock 9.26M By Andreessen Horowitz Fund IV, L.P F3, F4
transaction IOT Class B Common Stock Conversion of derivative security $0 +9.26M +22.87% $0.00 49.8M Dec 17, 2021 Class A Common Stock 9.26M By Andreessen Horowitz Fund IV, L.P F3, F4
transaction IOT Series C Preferred Stock Conversion of derivative security $0 -3.95M -100% $0.00* 0 Dec 17, 2021 Class B Common Stock 3.95M By Andreessen Horowitz Fund IV, L.P F3, F4
transaction IOT Class B Common Stock Conversion of derivative security $0 +3.95M +7.94% $0.00 53.7M Dec 17, 2021 Class A Common Stock 3.95M By Andreessen Horowitz Fund IV, L.P. F3, F4
transaction IOT Series D Preferred Stock Conversion of derivative security $0 -4.31M -100% $0.00* 0 Dec 17, 2021 Class B Common Stock 4.31M By Andreessen Horowitz Fund IV, L.P. F3, F4
transaction IOT Class B Common Stock Conversion of derivative security $0 +4.31M +8.03% $0.00 58M Dec 17, 2021 Class A Common Stock 4.31M By Andreessen Horowitz Fund IV, L.P. F3, F4
transaction IOT Series D Preferred Stock Conversion of derivative security $0 -4.97M -100% $0.00* 0 Dec 17, 2021 Class B Common Stock 4.97M By AH Parallel Fund IV, L.P. F3, F5, F6
transaction IOT Class B Common Stock Conversion of derivative security $0 +4.97M $0.00 4.97M Dec 17, 2021 Class A Common Stock 4.97M By AH Parallel Fund IV, L.P. F3, F5, F6
transaction IOT Series E Preferred Stock Conversion of derivative security $0 -5.63M -100% $0.00* 0 Dec 17, 2021 Class B Common Stock 5.63M By AH Parallel Fund V, L.P. F3, F7, F8
transaction IOT Class B Common Stock Conversion of derivative security $0 +5.63M $0.00 5.63M Dec 17, 2021 Class A Common Stock 5.63M By AH Parallel Fund V, L.P. F3, F7, F8
transaction IOT Series F Preferred Stock Conversion of derivative security $0 -13.6M -100% $0.00* 0 Dec 17, 2021 Class B Common Stock 13.6M By Andreessen Horowitz LSV Fund I, L.P. F3, F9
transaction IOT Class B Common Stock Conversion of derivative security $0 +13.6M $0.00 13.6M Dec 17, 2021 Class A Common Stock 13.6M By Andreessen Horowitz LSV Fund I, L.P. F3, F9
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 In connection with the Issuer's initial public offering of Class A Common Stock, Andreessen Horowitz LSV Fund III, L.P.("AH LSV Fund III"), for itself and as nominee for Andreessen Horowitz LSV Fund III-B, L.P. ("AH LSV Fund III-B") and AH 2022 Annual Fund, L.P. ("AH 2022 Annual" and together with AH LSV Fund III and AH LSV Fund III-B, the "AH LSV Fund III Entities"), purchased these shares of Class A Common Stock from the underwriters at the initial public offering price. AH Equity Partners LSV III, L.L.C. ("AH EP LSV III"), the general partner of AH LSV Fund III and AH LSV Fund III-B, may be deemed to have sole voting and dispositive power over the shares held by AH LSV Fund III and AH LSV Fund III-B. AH Equity Partners 2022 Annual Fund, L.L.C. ("AH EP 2022 Annual"), the general partner of AH 2022 Annual, may be deemed to have sole voting and dispositive power over the shares held by AH 2022 Annual.
F2 (Continued from Footnote 1) Marc Andreessen and Benjamin Horowitz are the managing members of AH EP LSV III and AH EP 2022 Annual and may be deemed to have shared voting and dispositive power over the shares held by the AH LSV Fund III Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH LSV Fund III Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
F3 Each share of Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, Series E Preferred Stock and Series F Preferred Stock automatically converted into a share of Class B Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, and had no expiration date. 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.
F4 These securities are held of record by Andreessen Horowitz Fund IV, L.P., for itself and as nominee for Andreessen Horowitz Fund IV-A, L.P., Andreessen Horowitz Fund IV-B, L.P., and Andreessen Horowitz Fund IV-Q, L.P. (collectively, the "AH Fund IV Entities"). AH Equity Partners IV, L.L.C. ("AH EP IV"), the general partner of the AH Fund IV Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH Fund IV Entities. Marc Andreessen and Benjamin Horowitz are the managing members of AH EP IV and may be deemed to have shared voting and dispositive power over the securities held by the AH Fund IV Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH Fund IV Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
F5 These securities are held of record by AH Parallel Fund IV, L.P., for itself and as nominee for AH Parallel Fund IV-A, L.P., AH Parallel Fund IV-B, L.P., and AH Parallel Fund IV-Q, L.P. (collectively, the "AH Parallel Fund IV Entities"). AH Equity Partners IV (Parallel), L.L.C. ("AH EP IV Parallel"), the general partner of the AH Parallel Fund IV Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH Parallel Fund IV Entities.
F6 (Continued from Footnote 5) Marc Andreessen and Benjamin Horowitz are the managing members of AH EP IV Parallel and may be deemed to have shared voting and dispositive power over the securities held by the AH Parallel Fund IV Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH Parallel Fund IV Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
F7 These securities are held of record by AH Parallel Fund V, L.P., for itself and as nominee for AH Parallel Fund V-A, L.P., AH Parallel Fund V-B, L.P., and AH Parallel Fund V-Q, L.P. (collectively, the "AH Parallel Fund V Entities"). AH Equity Partners V (Parallel), L.L.C. ("AH EP V Parallel"), the general partner of the AH Parallel Fund V Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH Parallel Fund V Entities.
F8 (Continued from Footnote 7) Marc Andreessen and Benjamin Horowitz are the managing members of AH EP V Parallel and may be deemed to have shared voting and dispositive power over the securities held by the AH Parallel Fund V Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH Parallel Fund V Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
F9 These securities are held of record by Andreessen Horowitz LSV Fund I, L.P., for itself and as nominee for Andreessen Horowitz LSV Fund I-B, L.P. and Andreessen Horowitz LSV Fund I-Q, L.P. (collectively, the "AH LSV Fund I Entities"). AH Equity Partners LSV I, L.L.C. ("AH EP LSV I"), the general partner of the AH LSV Fund I Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH LSV Fund I Entities. Marc Andreessen and Benjamin Horowitz are the managing members of AH EP LSV I and may be deemed to have shared voting and dispositive power over the securities held by the AH LSV Fund I Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH LSV Fund I Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.

Remarks:

This Form 4 is one of three Form 4s filed relating to the same event. Combined, the three reports report the holdings for the following reporting persons: Andreessen Horowitz Fund IV, L.P., Andreessen Horowitz Fund IV-A, L.P., Andreessen Horowitz Fund IV-B, L.P., Andreessen Horowitz Fund IV-Q, L.P., Andreessen Horowitz LSV Fund I, L.P., Andreessen Horowitz LSV Fund I-B, L.P., Andreessen Horowitz LSV Fund I-Q, L.P., AH Parallel Fund IV, L.P., AH Parallel Fund IV-A, L.P., AH Parallel Fund IV-B L.P., AH Parallel Fund IV-Q, L.P., AH Parallel Fund V, L.P., AH Parallel Fund V-A, L.P., AH Parallel Fund V-B L.P., AH Parallel Fund V-Q, L.P., Andreessen Horowitz LSV Fund III, L.P., Andreessen Horowitz LSV Fund III-B, L.P., AH 2022 Annual Fund, L.P., AH Equity Partners IV, L.L.C., AH Equity Partners LSV I, L.L.C., AH Equity Partners IV (Parallel), L.L.C., AH Equity Partners V (Parallel), L.L.C., AH Equity Partners LSV III, L.L.C., AH Equity Partners 2022 Annual Fund, L.L.C. and Benjamin Horowitz. This Form 4 has been split into three filings because there are more than 10 reporting persons in total, and the SEC's EDGAR filing system limits a single Form 4 to a maximum of 10 reporting persons.