0001415889-24-010030.txt : 20240403 0001415889-24-010030.hdr.sgml : 20240403 20240403164426 ACCESSION NUMBER: 0001415889-24-010030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240306 FILED AS OF DATE: 20240403 DATE AS OF CHANGE: 20240403 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Munk James Andrew CENTRAL INDEX KEY: 0001794991 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41140 FILM NUMBER: 24819593 MAIL ADDRESS: STREET 1: 3401 HILLVIEW AVENUE CITY: PALO ALTO STATE: CA ZIP: 94304 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: 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 form4-04032024_080415.xml X0508 4 2024-03-06 0001642896 Samsara Inc. IOT 0001794991 Munk James Andrew C/O SAMSARA INC. 1 DE HARO STREET SAN FRANCISCO CA 94107 false true false false CHIEF ACCOUNTING OFFICER 0 Class A Common Stock 2024-03-06 4 A 0 35502 0 A 338628 D These securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock. One-sixteenth of the RSUs shall vest on June 10, 2024 and each quarterly vesting date thereafter, subject to the Reporting Person continuing as a service provider through each such date. 338,628 is the number of shares beneficially owned as of the April 3, 2024 filing date of this Form 4. 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 James Andrew Munk 2024-04-03