Benjamin Calderon - 09 Jan 2023 Form 4 Insider Report for Samsara Inc. (IOT)

Role
Executive Vice President, Chief Technology Officer, Hardware and Operations
Signature
/s/ Adam Eltoukhy, attorney-in-fact on behalf of Benjamin Calderon
Issuer symbol
IOT
Transactions as of
09 Jan 2023
Net transactions value
$0
Form type
4
Filing time
09 Jan 2023, 18:28:28 UTC
Previous filing
04 Jan 2023
Next filing
02 Feb 2023
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 +320,833 +298% $0.000000 428,315 09 Jan 2023 Direct
transaction IOT Class A Common Stock Conversion of derivative security $0 +150,000 +35% $0.000000 578,315 09 Jan 2023 Direct

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 Conversion of derivative security $0 -320,833 -3.4% $0.000000 9,081,564 09 Jan 2023 Class A Common Stock 320,833 $0.000000 Direct F1
transaction IOT Class B Common Stock Conversion of derivative security $0 -150,000 -1.7% $0.000000 8,931,564 09 Jan 2023 Class A Common Stock 150,000 $0.000000 Direct F1
holding IOT Class B Common Stock 908,700 09 Jan 2023 Class A Common Stock 908,700 $0.000000 See footnote F1, F2
holding IOT Class B Common Stock 908,700 09 Jan 2023 Class A Common Stock 908,700 $0.000000 See footnote F1, F3
holding IOT Class B Common Stock 908,700 09 Jan 2023 Class A Common Stock 908,700 $0.000000 See footnote F1, F4
holding IOT Class B Common Stock 290,000 09 Jan 2023 Class A Common Stock 290,000 $0.000000 See footnote F1, F5
* 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.
F2 Consists of shares held by Fall MC, LLC, over which Mr. Calderon has voting or investment power.
F3 Consists of shares held by Summer NC, LLC, over which Mr. Calderon has voting or investment power.
F4 Consists of shares held by Winter EC, LLC, over which Mr. Calderon has voting or investment power.
F5 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