0000899243-23-019154.txt : 20230915
0000899243-23-019154.hdr.sgml : 20230915
20230915171959
ACCESSION NUMBER: 0000899243-23-019154
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230913
FILED AS OF DATE: 20230915
DATE AS OF CHANGE: 20230915
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: 231259504
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: 0203
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
X0508
4
2023-09-13
0
0001642896
Samsara Inc.
IOT
0001545563
Taneja Hemant
C/O GENERAL CATALYST PARTNERS
20 UNIVERSITY ROAD, 4TH FLOOR
CAMBRIDGE
MA
02138
1
0
0
0
0
Class A Common Stock
2023-09-13
4
C
0
3187815
0.00
A
3187815
I
Directly held by General Catalyst Group Supplemental VIII, L.P.
Class A Common Stock
2023-09-13
4
J
0
3187815
0.00
D
0
I
Directly held by General Catalyst Group Supplemental VIII, L.P.
Class A Common Stock
2023-09-14
4
J
0
582265
0.00
A
582265
I
Directly held by General Catalyst Partners VIII, L.P.
Class A Common Stock
2023-09-14
4
J
0
582265
0.00
D
0
I
Directly held by General Catalyst Partners VIII, L.P.
Class A Common Stock
2023-09-14
4
J
0
64053
0.00
A
64053
I
Directly held by GCSE VIII, L.P.
Class A Common Stock
2023-09-14
4
J
0
64053
0.00
D
0
I
Directly held by GCSE VIII, L.P.
Class A Common Stock
582517
I
Directly held by the Hemant Taneja and Jessica Schantz Taneja Revocable Trust, dated 4/19/12
Class A Common Stock
593028
I
Directly held by the Hemant Taneja and Jessica Schantz Taneja Revocable Trust, dated 4/19/12
Class A Common Stock
47826
I
Directly held by the Taneja Heritage Trust
Class A Common Stock
2000000
I
Directly held by General Catalyst Group XI - Endurance, L.P.
Class B Common Stock
0.00
2023-09-13
4
C
0
3187815
0.00
D
Class A Common Stock
3187815
0
I
Directly held by General Catalyst Group VIII Supplemental, L.P.
Class B Common Stock
0.00
Class A Common Stock
11187815
11187815
I
Directly held by General Catalyst Group VIII, 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. ("GCPVIII"), which is the general partner of General Catalyst Group VIII, L.P. ("GCGVIII"),
(Continued from Footnote 1) GCSE VIII, L.P. ("GCSE") 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 2) The Reporting Person is a managing member of GCGMH LLC and a director of the Issuer. Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.
Effective September 13, 2023, General Catalyst Group VIII Supplemental, L.P., a venture capital partnership, distributed in-kind on a pro-rata basis, without consideration, a total of 3,187,815 shares of Class A Common Stock of the Issuer to its general and limited partners.
Represents shares previously reported as held through GCGVIIIS.
Effective September 14, 2023, GCPVIII, a venture capital partnership, distributed in-kind on a pro-rata basis, without consideration, a total of 582,265 shares of Class A Common Stock of the Issuer to its general and limited partners.
Represents shares previously reported as held through GCPVIII.
Effective September 14, 2023, GCSE, a venture capital partnership, distributed in-kind on a pro-rata basis, without consideration, a total of 64,053 shares of Class A Common Stock of the Issuer to its general and limited partners.
Includes 128,056 shares of Class A Common Stock of the Issuer received as an in-kind distribution and previously reported as held through GCPVIII. In prior reports, the Reporting Person reported indirect beneficial ownership of 454,461 shares of Class A Common Stock of the Issuer.
Includes 10,511 shares of Class A Common Stock of the Issuer received as an in-kind distribution and previously reported as held through GCSE. In prior reports, the Reporting Person reported indirect beneficial ownership of 512,042 shares of Class A Common Stock of the Issuer.
Includes 7,561 shares of Class A Common Stock of the Issuer received as an in-kind distribution and previously reported as held through GCSE. In prior reports, the Reporting Person reported indirect beneficial ownership of 40,265 shares of Class A Common Stock of the Issuer.
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"). The Reporting Person is a managing member of GCGMH LLC. 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
2023-09-15