0001415889-24-019496.txt : 20240711
0001415889-24-019496.hdr.sgml : 20240711
20240711175134
ACCESSION NUMBER: 0001415889-24-019496
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240710
FILED AS OF DATE: 20240711
DATE AS OF CHANGE: 20240711
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bluedorn Todd M
CENTRAL INDEX KEY: 0001395277
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41140
FILM NUMBER: 241112841
MAIL ADDRESS:
STREET 1: 2140 LAKE PARK BLVD.
CITY: RICHARDSON
STATE: TX
ZIP: 75080
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Samsara Inc.
CENTRAL INDEX KEY: 0001642896
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 473100039
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0201
BUSINESS ADDRESS:
STREET 1: 1 DE HARO STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
BUSINESS PHONE: (415) 985-2400
MAIL ADDRESS:
STREET 1: 1 DE HARO STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94107
FORMER COMPANY:
FORMER CONFORMED NAME: Samsara Networks Inc.
DATE OF NAME CHANGE: 20150520
4
1
form4-07112024_090731.xml
X0508
4
2024-07-10
0001642896
Samsara Inc.
IOT
0001395277
Bluedorn Todd M
C/O SAMSARA INC.
1 DE HARO STREET
SAN FRANCISCO
CA
94107
true
false
false
false
0
Class A Common Stock
2024-07-10
4
A
0
5685
0
A
21153
D
These securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock. The RSUs will vest in full on the earlier of July 10, 2025 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through the applicable vesting date.
Certain of these securities are 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.
/s/ Adam Eltoukhy, attorney-in-fact on behalf of Todd M. Bluedorn
2024-07-11