Sanjit Biswas - 17 Dec 2021 Form 4 Insider Report for Samsara Inc. (IOT)

Role: Chief Executive Officer, Director, 10%+ Owner
Signature: /s/ Adam Eltoukhy, attorney-in-fact on behalf of Sanjit Biswas
Issuer symbol: IOT
Transactions as of: 17 Dec 2021
Net transactions value: $0
Form type: 4
Filing time: 21 Dec 2021, 20:49:42 UTC
Previous filing: 16 Dec 2021
Next filing: 17 Mar 2022
SEC: View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	IOT	Series A Preferred Stock	Conversion of derivative security	$0	-12,386,955	-100%	$0.000000^*	0	17 Dec 2021	Class B Common Stock	12,386,955	$0.000000	Direct	F1
transaction	IOT	Class B Common Stock	Conversion of derivative security	$0	+12,386,955	+19%	$0.000000	78,981,584	17 Dec 2021	Class A Common Stock	12,386,955	$0.000000	See footnote	F1, F2
transaction	IOT	Series B Preferred Stock	Conversion of derivative security	$0	-4,629,639	-100%	$0.000000^*	0	17 Dec 2021	Class B Common Stock	4,629,639	$0.000000	See footnote	F1, F2
transaction	IOT	Class B Common Stock	Conversion of derivative security	$0	+4,629,639	+5.9%	$0.000000	83,611,223	17 Dec 2021	Class A Common Stock	4,629,639	$0.000000	See footnote	F1, F2
transaction	IOT	Series C Preferred Stock	Conversion of derivative security	$0	-1,351,441	-100%	$0.000000^*	0	17 Dec 2021	Class B Common Stock	1,351,441	$0.000000	See footnote	F1, F2
transaction	IOT	Class B Common Stock	Conversion of derivative security	$0	+1,351,441	+1.6%	$0.000000	84,962,664	17 Dec 2021	Class A Common Stock	1,351,441	$0.000000	See footnote	F1, F2
holding	IOT	Class B Common Stock						1,286,597	17 Dec 2021	Class A Common Stock	1,286,597	$0.000000	Direct	F12
holding	IOT	Class B Common Stock						4,155,371	17 Dec 2021	Class A Common Stock	4,155,371	$0.000000	See footnote	F3, F12
holding	IOT	Class B Common Stock						15,591,942	17 Dec 2021	Class A Common Stock	15,591,942	$0.000000	See footnote	F4, F12
holding	IOT	Class B Common Stock						2,292,432	17 Dec 2021	Class A Common Stock	2,292,432	$0.000000	See footnote	F5, F12
holding	IOT	Class B Common Stock						2,292,432	17 Dec 2021	Class A Common Stock	2,292,432	$0.000000	See footnote	F6, F12
holding	IOT	Class B Common Stock						250,000	17 Dec 2021	Class A Common Stock	250,000	$0.000000	See footnote	F7, F12
holding	IOT	Class B Common Stock						250,000	17 Dec 2021	Class A Common Stock	250,000	$0.000000	See footnote	F8, F12
holding	IOT	Class B Common Stock						250,000	17 Dec 2021	Class A Common Stock	250,000	$0.000000	See footnote	F9, F12
holding	IOT	Class B Common Stock						250,000	17 Dec 2021	Class A Common Stock	250,000	$0.000000	See footnote	F10, F12
holding	IOT	Class B Common Stock						1,286,597	17 Dec 2021	Class A Common Stock	1,286,597	$0.000000	See footnote	F11, F12

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Each share of Series A Preferred Stock, Series B Preferred Stock and Series C Preferred Stock automatically converted into Class B Common Stock on a one-to-one basis immediately prior to the completion of the Issuer's initial public offering of Class A 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.
F2	Consists of shares held by SB and HB, Co-Trustees of the Biswas Family Trust u/a/d 7/13/2012, over which Mr. Biswas has voting or investment power.
F3	Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.
F4	Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust II u/a/d 10/14/2021, over which Mr. Biswas has voting or investment power.
F5	Consists of shares held by HB, Trustee of The HB 2020 Annuity Trust u/a/d 12/2/2020, over which Mr. Biswas has voting or investment power.
F6	Consists of shares held by Sanjit Biswas, Trustee of The Sanjit Biswas 2020 Annuity Trust u/a/d 12/2/2020, over which Mr. Biswas has voting or investment power.
F7	Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.
F8	Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo REB u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.
F9	Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo NAmB u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.
F10	Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Biswas Trust I-A fbo NAlB u/a/d 11/11/2021, over which Mr. Biswas has voting or investment power.
F11	Consists of shares held by Mr. Biswas' spouse.
F12	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 and has no expiration date.