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