0001415889-24-017716.txt : 20240620 0001415889-24-017716.hdr.sgml : 20240620 20240620192740 ACCESSION NUMBER: 0001415889-24-017716 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240617 FILED AS OF DATE: 20240620 DATE AS OF CHANGE: 20240620 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bicket John CENTRAL INDEX KEY: 0001895106 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41140 FILM NUMBER: 241058015 MAIL ADDRESS: STREET 1: 350 RHODE ISLAND STREET STREET 2: 4TH FLOOR, SOUTH BUILDING CITY: SAN FRANCISCO STATE: CA ZIP: 94103 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 form4-06202024_110636.xml X0508 4 2024-06-17 0001642896 Samsara Inc. IOT 0001895106 Bicket John C/O SAMSARA INC. 1 DE HARO STREET SAN FRANCISCO CA 94107 true true true false SEE REMARKS 1 Class A Common Stock 2024-06-17 4 C 0 152564 0 A 386796 D Class A Common Stock 2024-06-20 4 S 0 96000 29.4685 D 1928040 I See footnote Class A Common Stock 134400 I See footnote Class A Common Stock 537600 I See footnote Class B Common Stock 2024-06-17 4 M 0 152564 0 D Class B Common Stock 152564 203419 D Class B Common Stock 0 2024-06-17 4 M 0 152564 0 A Class A Common Stock 152564 152564 D Class B Common Stock 0 2024-06-17 4 C 0 152564 0 D Class A Common Stock 152564 0 D Class B Common Stock 0 Class A Common Stock 78730001 78730001 I See footnote Class B Common Stock 0 Class A Common Stock 1283986 1283986 I See footnote Class B Common Stock 0 Class A Common Stock 663619 663619 I See footnote Class B Common Stock 0 Class A Common Stock 16313764 16313764 I See footnote Class B Common Stock 0 Class A Common Stock 663619 663619 I See footnote Class B Common Stock 0 Class A Common Stock 1286597 1286597 I See footnote Class B Common Stock 0 Class A Common Stock 4217164 4217164 I See footnote Class B Common Stock 0 Class A Common Stock 250000 250000 I See footnote Class B Common Stock 0 Class A Common Stock 250000 250000 I See footnote Class B Common Stock 0 Class A Common Stock 250000 250000 I See footnote Class B Common Stock 0 Class A Common Stock 126709 126709 I See footnote Class B Common Stock 0 Class A Common Stock 126709 126709 I See footnote The number of shares held reflects the transfer of 179,578 shares of Class A Common Stock from the Reporting Person to John C. Bicket, Trustee of the John C. Bicket Revocable Trust u/a/d 2/15/2013, over which the Reporting Person has voting or investment power (the "Bicket Revocable Trust"). These securities are restricted stock units (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. The sales were effected pursuant to a Rule 10b5-1 trading plan adopted on September 29, 2023 by the Bicket Revocable Trust. The "Amount" and "Price" reported in this Column 4 reflect the aggregate number and weighted-average price, respectively, of shares sold. These shares were sold in multiple transactions at prices ranging from $29.10 to $30.095, inclusive. The Reporting Person undertakes to provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein. Consists of shares held by the Bicket Revocable Trust. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I u/a/d 11/10/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust II u/a/d 10/8/2021, over which the Reporting Person has voting or investment power. The reported shares represent RSUs, of which 152,564 shares vested on June 17, 2024 and the remaining shares vest in quarterly installments through December 15, 2024. Each RSU represents a contingent right to receive one share of Class B Common Stock. 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. Consists of shares held by John C. Bicket and CBD, Co-Trustees of the Bicket-Dobson Revocable Trust u/a/d 12/23/20, over which the Reporting Person has voting or investment power. Consists of shares held by John C. Bicket, Trustee of the John C. Bicket 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power. Consists of shares held by CBD, Trustee of the CBD 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power. Consists of shares held by the Reporting Person's spouse. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo ACDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo JCDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power. Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A u/a/d 11/10/2021, over which the Reporting Person has voting or investment power. Consists of shares held by John C. Bicket, Trustee of The John C. Bicket 2024 Annuity Trust u/a/d 4/24/2024, over which the Reporting Person has voting or investment power. Consists of shares held by CBD, Trustee of the CBD 2024 Annuity Trust u/a/d 4/24/2024, over which the Reporting Person has voting or investment power. Executive Vice President, Chief Technology Officer /s/ Adam Eltoukhy, attorney-in-fact on behalf of John Bicket 2024-06-20