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Filing Details

Accession Number:: 0000899243-21-049333
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-12-21 21:55:17
Reporting Period:: 2021-12-17

Accepted Time:: 2021-12-21 21:55:17
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1642896	Samsara Inc.	IOT	()	DE

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1603197	Ah Parallel Fund Iv, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1603419	Ah Equity Partners Iv (Parallel), L.l.c.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1604859	Ah Parallel Fund Iv-A, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1604860	Ah Parallel Fund Iv-B, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1604861	Ah Parallel Fund Iv-Q, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1675230	Ah Equity Partners V (Parallel), L.l.c.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1675233	Ah Parallel Fund V-A, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1675234	Ah Parallel Fund V-B, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1675235	Ah Parallel Fund V-Q, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No
1675240	Ah Parallel Fund V, L.p.	2865 Sand Hill Road, Suite 101 Menlo Park CA 94025	No	No	Yes	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Class A Common Stock	Acquisiton	2021-12-17	3,995,652	$23.00	3,995,652	No	4	P	Indirect	By Andreessen Horowitz LSV Fund III, L.P.

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	By Andreessen Horowitz LSV Fund III, L.P.

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Class B Common Stock	Series A Preferred Stock	Disposition	2021-12-17	40,492,830	$0.00	40,492,830	$0.00
Class A Common Stock	Class B Common Stock	Acquisiton	2021-12-17	40,492,830	$0.00	40,492,830	$0.00
Class B Common Stock	Series B Preferred Stock	Disposition	2021-12-17	9,259,278	$0.00	9,259,278	$0.00
Class A Common Stock	Class B Common Stock	Acquisiton	2021-12-17	9,259,278	$0.00	9,259,278	$0.00
Class B Common Stock	Series C Preferred Stock	Disposition	2021-12-17	3,951,276	$0.00	3,951,276	$0.00
Class A Common Stock	Class B Common Stock	Acquisiton	2021-12-17	3,951,276	$0.00	3,951,276	$0.00
Class B Common Stock	Series D Preferred Stock	Disposition	2021-12-17	4,313,218	$0.00	4,313,218	$0.00
Class A Common Stock	Class B Common Stock	Acquisiton	2021-12-17	4,313,218	$0.00	4,313,218	$0.00
Class B Common Stock	Series D Preferred Stock	Disposition	2021-12-17	4,974,501	$0.00	4,974,501	$0.00
Class A Common Stock	Class B Common Stock	Acquisiton	2021-12-17	4,974,501	$0.00	4,974,501	$0.00
Class B Common Stock	Series E Preferred Stock	Disposition	2021-12-17	5,633,880	$0.00	5,633,880	$0.00
Class A Common Stock	Class B Common Stock	Acquisiton	2021-12-17	5,633,880	$0.00	5,633,880	$0.00
Class B Common Stock	Series F Preferred Stock	Disposition	2021-12-17	13,561,282	$0.00	13,561,282	$0.00
Class A Common Stock	Class B Common Stock	Acquisiton	2021-12-17	13,561,282	$0.00	13,561,282	$0.00

Remaning Holdings	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
0	No	4	C	Indirect
40,492,830	No	4	C	Indirect
0	No	4	C	Indirect
49,752,108	No	4	C	Indirect
0	No	4	C	Indirect
53,703,384	No	4	C	Indirect
0	No	4	C	Indirect
58,016,602	No	4	C	Indirect
0	No	4	C	Indirect
4,974,501	No	4	C	Indirect
0	No	4	C	Indirect
5,633,880	No	4	C	Indirect
0	No	4	C	Indirect
13,561,282	No	4	C	Indirect

Footnotes

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.
(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.
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.
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.
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.
(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.
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.
(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.
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.