Filing Details
- Accession Number:
- 0001209191-22-038155
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2022-06-17 19:34:33
- Reporting Period:
- 2022-06-15
- Accepted Time:
- 2022-06-17 19:34:33
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1642896 | Samsara Inc. | IOT | Services-Computer Integrated Systems Design (7373) | 473100039 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1895104 | Andy Mccall | C/O Samsara Inc., 350 Rhode Island St. 4Th Floor, South Building San Francisco CA 94103 | See Remarks | No | Yes | No | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Acquisiton | 2022-06-10 | 2,173 | $9.32 | 343,372 | No | 5 | A | Direct | |
| Class A Common Stock | Acquisiton | 2022-06-15 | 106,250 | $0.00 | 449,622 | No | 4 | C | Direct | |
| Class A Common Stock | Disposition | 2022-06-15 | 59,773 | $10.99 | 389,849 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 5 | A | Direct | |
| No | 4 | C | Direct | |
| No | 4 | S | Direct |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Class B Common Stock | Class B Common Stock | Disposition | 2022-06-15 | 106,250 | $0.00 | 106,250 | $0.00 |
| Class A Common Stock | Class B Common Stock | Acquisiton | 2022-06-15 | 106,250 | $0.00 | 106,250 | $0.00 |
| Class A Common Stock | Class B Common Stock | Disposition | 2022-06-15 | 106,250 | $0.00 | 106,250 | $0.00 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 991,667 | No | 4 | M | Direct | ||
| 1,841,622 | No | 4 | M | Direct | ||
| 1,735,372 | No | 4 | C | Direct |
Reported Derivative Holdings
| Sec. Name | Sec. Type | Price | Date | Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|---|---|---|---|
| Class A Common Stock | Class B Common Stock | $0.00 | 5,399,627 | 5,399,627 | Indirect | ||
| Class A Common Stock | Class B Common Stock | $0.00 | 1,673,333 | 1,673,333 | Indirect | ||
| Class A Common Stock | Class B Common Stock | $0.00 | 646,853 | 646,853 | Indirect | ||
| Class A Common Stock | Class B Common Stock | $0.00 | 646,853 | 646,853 | Indirect |
| Expiration Date | Amount | Remaning Holdings | Nature of Ownership |
|---|---|---|---|
| 5,399,627 | 5,399,627 | Indirect | |
| 1,673,333 | 1,673,333 | Indirect | |
| 646,853 | 646,853 | Indirect | |
| 646,853 | 646,853 | Indirect |
Footnotes
- These shares were acquired under the Samsara Inc. 2021 Employee Stock Purchase Plan in transactions that were exempt under both Rule 16b-3(d) and Rule 16b-3(c).
- These shares were disposed of in non-discretionary transactions to cover the reporting person's tax withholding obligations in connection with the settlement of awards of RSUs.
- The "Amount" and "Price" reported in this Column 4 reflect the aggregate number and weighted-average price, respectively, of shares sold. These shares were sold in multiple transactions at prices ranging from $10.68 to $11.3301 inclusive. The reporting person undertakes to provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein.
- The reported shares are represented by RSUs, of which 106,250 vested on June 15, 2022 and the remaining shares vest in quarterly installments through December 15, 2024.
- Each RSU represents a contingent right to receive one share of Issuer Class B Common Stock.
- 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.
- Consists of shares held by JAM and BAM, Co-Trustees of The JAM and BAM Joint Living Trust u/a/d 6/30/2009, over which Mr. McCall has voting or investment power.
- Consists of shares held by JAM and BAM, Co-Trustees of The McCall 2020 Irrevocable Children's Trust u/a/d 8/7/2020, over which Mr. McCall has voting or investment power.
- Consists of shares held by James Andrew McCall III, Trustee of The James Andrew McCall III 2020 Annuity Trust u/a/d 8/7/2020, over which Mr. McCall has voting or investment power.
- Consists of shares held by BAM, Trustee of The BAM 2020 Annuity Trust u/a/d 8/7/2020, over which Mr. McCall has voting or investment power.
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