0000899243-23-008690.txt : 20230315 0000899243-23-008690.hdr.sgml : 20230315 20230315213729 ACCESSION NUMBER: 0000899243-23-008690 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230313 FILED AS OF DATE: 20230315 DATE AS OF CHANGE: 20230315 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Taneja Hemant CENTRAL INDEX KEY: 0001545563 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41140 FILM NUMBER: 23736966 MAIL ADDRESS: STREET 1: C/O GENERAL CATALYST STREET 2: 20 UNIVERSITY ROAD, 4TH FLOOR CITY: CAMBRIDGE STATE: MA ZIP: 02138 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Samsara Inc. CENTRAL INDEX KEY: 0001642896 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] IRS NUMBER: 473100039 STATE OF INCORPORATION: DE FISCAL YEAR END: 0128 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 doc4.xml FORM 4 SUBMISSION X0306 4 2023-03-13 0 0001642896 Samsara Inc. IOT 0001545563 Taneja Hemant C/O GENERAL CATALYST PARTNERS 20 UNIVERSITY ROAD, 4TH FLOOR CAMBRIDGE MA 02138 1 0 1 0 Class A Common Stock 2023-03-13 4 C 0 3000000 0.00 A 3000000 I Directly held by General Catalyst Group VIII, L.P. Class A Common Stock 2023-03-13 4 S 0 3000000 18.86 D 0 D Class A Common Stock 2000000 I Directly held by General Catalyst Group XI - Endurance, L.P. Class B Common Stock 0.00 2023-03-13 4 C 0 3000000 0.00 D Class A Common Stock 3000000 11187815 I Directly held by General Catalyst Group VIII, L.P. Class B Common Stock 0.00 Class A Common Stock 14187815 14187815 I Directly held by General Catalyst Group VIII Supplemental, L.P. Class B Common Stock 0.00 Class A Common Stock 3943716 3943716 I Directly held by GC Venture VIII, LLC Class B Common Stock 0.00 Class A Common Stock 8588813 8588813 I Directly held by GC Venture VIII-B, LLC Class B Common Stock 0.00 Class A Common Stock 4520428 4520428 I Directly held by General Catalyst Group X - Endurance, L.P. General Catalyst Group Management Holdings GP, LLC ("GCGMH LLC") is the general partner of General Catalyst Group Management Holdings, L.P. ("GCGMH"), which is the manager of General Catalyst Group Management, LLC ("GCGM LLC"), which is (a) the manager of GC Venture VIII Manager, LLC ("GCVVIII Manager"), which is the manager of GC Venture VIII, LLC ("GCVVIII"), (b) the manager of GC Venture VIII-B Manager, LLC, which is the manager of GC Venture VIII-B, LLC ("GCVVIIIB"), (c) the manager of General Catalyst GP VIII, LLC ("GCGPVIII"), which is the general partner of General Catalyst Partners VIII, L.P., which is the general partner of General Catalyst Group VIII, L.P. ("GCGVIII") and General Catalyst Group VIII Supplemental, L.P. ("GCGVIIIS") and (d) the manager of General Catalyst GP X - Growth Venture, LLC, which is the general partner of General Catalyst Partners X - Growth Venture, L.P., which is the general partner of General Catalyst Group X - Endurance, L.P. ("GCGXE"). (Continued from Footnote 1) Kenneth Chenault, Joel Cutler, David Fialkow and the Reporting Person are managing members of GCGMH LLC, and, as a result, may be deemed to share voting and investment power with respect to the shares held by GCVVIII, GCVVIIIB, GCGVIIIS, GCGVIII and GCGXE. Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. GCGMH LLC is the general partner of GCGMH, which is the manager of GCGM LLC, which is the manager of General Catalyst Endurance GP XI, LLC, which is the general partner of General Catalyst Partners XI - Endurance, L.P., which is the general partner of General Catalyst Group XI - Endurance, L.P. ("GCGXIE"). Kenneth Chenault, Joel Cutler, David Fialkow and the Reporting Person are managing members of GCGMH LLC, and, as a result, may be deemed to share voting and investment power with respect to the shares held by GCGXIE. Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein. 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. /s/ Christopher McCain, attorney-in-fact on behalf of Hemant Taneja 2023-03-15