0001974078-23-000145.txt : 20230908 0001974078-23-000145.hdr.sgml : 20230908 20230908163946 ACCESSION NUMBER: 0001974078-23-000145 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230908 DATE AS OF CHANGE: 20230908 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-41140 FILM NUMBER: 231245778 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: AH Parallel Fund V, L.P. CENTRAL INDEX KEY: 0001675240 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 144 BUSINESS ADDRESS: STREET 1: 2865 SAND HILL ROAD, SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-798-3900 MAIL ADDRESS: STREET 1: 2865 SAND HILL ROAD, SUITE 101 CITY: MENLO PARK STATE: CA ZIP: 94025 144 1 primary_doc.xml 144 0001675240 XXXXXXXX LIVE 0001642896 Samsara Inc. 001-41140 1 DE HARO STREET SAN FRANCISCO CA 94107 (415) 985-2400 AH Parallel Fund V, L.P. 10% Stockholder COMMON RAYMOND JAMES & ASSOCIATES INC

880 CARILLON PKWY ST. PETERSBURG FL 33716

80978 2504098.89 179290763 09/08/2023 NYSE COMMON 12/21/2018 Series E Preferred Stock (which converted into Class B Common) ISSUER N 80978 12/21/2018 CASH N AH Parallel Fund V LP

2865 Sand Hill Road, Suite 101 MENLO PARK CA 94025

COMMON 06/08/2023 36038 1000011.25 Andreessen Horowitz LSV Fund I, L.P

2865 Sand Hill Road, Suite 101 MENLO PARK CA 94025

COMMON 06/08/2023 331545 9199975.90 09/08/2023 MOHAMMED ALSHATRI, as duly authorized representative of Raymond James & Associates, Inc., as attorney-in-fact for AH PARALLEL FUND V LP