John Bicket - 18 Aug 2023 Form 4 Insider Report for Samsara Inc. (IOT)

Role
Executive Vice President, Chief Technology Officer, Director, 10%+ Owner
Signature
/s/ Adam Eltoukhy, attorney-in-fact on behalf of John Bicket
Issuer symbol
IOT
Transactions as of
18 Aug 2023
Net transactions value
$0
Form type
4
Filing time
22 Aug 2023, 18:37:08 UTC
Previous filing
17 Aug 2023
Next filing
24 Aug 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 +152,564 +46% $0.000000 485,491 18 Aug 2023 Direct F1
transaction IOT Class A Common Stock Conversion of derivative security $0 +1,250,226 +643% $0.000000 1,444,720 18 Aug 2023 See footnote 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 Class B Common Stock Conversion of derivative security $0 -152,564 -100% $0.000000* 0 18 Aug 2023 Class A Common Stock 152,564 $0.000000 Direct F3
transaction IOT Class B Common Stock Conversion of derivative security $0 -1,250,226 -1.5% $0.000000 83,141,467 18 Aug 2023 Class A Common Stock 1,250,226 $0.000000 See footnote F2, F3
holding IOT Class B Common Stock 1,283,986 18 Aug 2023 Class A Common Stock 1,283,986 $0.000000 See footnote F3, F4
holding IOT Class B Common Stock 790,328 18 Aug 2023 Class A Common Stock 790,328 $0.000000 See footnote F3, F5
holding IOT Class B Common Stock 17,312,164 18 Aug 2023 Class A Common Stock 17,312,164 $0.000000 See footnote F3, F6
holding IOT Class B Common Stock 790,328 18 Aug 2023 Class A Common Stock 790,328 $0.000000 See footnote F3, F7
holding IOT Class B Common Stock 1,286,597 18 Aug 2023 Class A Common Stock 1,286,597 $0.000000 See footnote F3, F8
holding IOT Class B Common Stock 4,466,764 18 Aug 2023 Class A Common Stock 4,466,764 $0.000000 See footnote F3, F9
holding IOT Class B Common Stock 250,000 18 Aug 2023 Class A Common Stock 250,000 $0.000000 See footnote F3, F10
holding IOT Class B Common Stock 250,000 18 Aug 2023 Class A Common Stock 250,000 $0.000000 See footnote F3, F11
holding IOT Class B Common Stock 250,000 18 Aug 2023 Class A Common Stock 250,000 $0.000000 See footnote F3, F12
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Certain of these securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock, subject to the applicable vesting schedule and conditions of each RSU.
F2 Consists of shares held by John C. Bicket, Trustee of the John C. Bicket Revocable Trust u/a/d 2/15/2013, over which the Reporting Person has voting or investment power.
F3 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.
F4 Consists of shares held by John C. Bicket and CBD, Co-Trustees of the Bicket-Dobson Revocable Trust u/a/d 12/23/20, over which the Reporting Person has voting or investment power.
F5 Consists of shares held by John C. Bicket, Trustee of the John C. Bicket 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power.
F6 Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust II u/a/d 10/8/2021, over which the Reporting Person has voting or investment power.
F7 Consists of shares held by CBD, Trustee of the CBD 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power.
F8 Consists of shares held by the Reporting Person's spouse.
F9 Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.
F10 Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo ACDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.
F11 Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo JCDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.
F12 Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.

Remarks:

Executive Vice President, Chief Technology Officer