Filing Details

Accession Number:
0000899243-21-049321
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-12-21 21:50:22
Reporting Period:
2021-12-17
Accepted Time:
2021-12-21 21:50:22
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1642896 Samsara Inc. IOT () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1166586 A Benjamin Horowitz 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1603198 Andreessen Horowitz Fund Iv, L.p. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1603403 Ah Equity Partners Iv, L.l.c. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1604853 Andreessen Horowitz Fund Iv-A, L.p. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1604855 Andreessen Horowitz Fund Iv-B, L.p. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1604857 Andreessen Horowitz Fund Iv-Q, L.p. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1772284 Andreessen Horowitz Lsv Fund I, L.p. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1772287 Ah Equity Partners Lsv I, L.l.c. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1772407 Andreessen Horowitz Lsv Fund I-Q, L.p. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
1772420 Andreessen Horowitz Lsv Fund I-B, L.p. 2865 Sand Hill Road, Suite 101
Menlo Park CA 94025
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Class A Common Stock Acquisiton 2021-12-17 3,995,652 $23.00 3,995,652 No 4 P Indirect By Andreessen Horowitz LSV Fund III, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By Andreessen Horowitz LSV Fund III, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class B Common Stock Series A Preferred Stock Disposition 2021-12-17 40,492,830 $0.00 40,492,830 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-12-17 40,492,830 $0.00 40,492,830 $0.00
Class B Common Stock Series B Preferred Stock Disposition 2021-12-17 9,259,278 $0.00 9,259,278 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-12-17 9,259,278 $0.00 9,259,278 $0.00
Class B Common Stock Series C Preferred Stock Disposition 2021-12-17 3,951,276 $0.00 3,951,276 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-12-17 3,951,276 $0.00 3,951,276 $0.00
Class B Common Stock Series D Preferred Stock Disposition 2021-12-17 4,313,218 $0.00 4,313,218 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-12-17 4,313,218 $0.00 4,313,218 $0.00
Class B Common Stock Series D Preferred Stock Disposition 2021-12-17 4,974,501 $0.00 4,974,501 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-12-17 4,974,501 $0.00 4,974,501 $0.00
Class B Common Stock Series E Preferred Stock Disposition 2021-12-17 5,633,880 $0.00 5,633,880 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-12-17 5,633,880 $0.00 5,633,880 $0.00
Class B Common Stock Series F Preferred Stock Disposition 2021-12-17 13,561,282 $0.00 13,561,282 $0.00
Class A Common Stock Class B Common Stock Acquisiton 2021-12-17 13,561,282 $0.00 13,561,282 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
40,492,830 No 4 C Indirect
0 No 4 C Indirect
49,752,108 No 4 C Indirect
0 No 4 C Indirect
53,703,384 No 4 C Indirect
0 No 4 C Indirect
58,016,602 No 4 C Indirect
0 No 4 C Indirect
4,974,501 No 4 C Indirect
0 No 4 C Indirect
5,633,880 No 4 C Indirect
0 No 4 C Indirect
13,561,282 No 4 C Indirect
Footnotes
  1. In connection with the Issuer's initial public offering of Class A Common Stock, Andreessen Horowitz LSV Fund III, L.P. ("AH LSV Fund III"), for itself and as nominee for Andreessen Horowitz LSV Fund III-B, L.P. ("AH LSV Fund III-B") and AH 2022 Annual Fund, L.P. ("AH 2022 Annual" and together with AH LSV Fund III and AH LSV Fund III-B, the "AH LSV Fund III Entities"), purchased these shares of Class A Common Stock from the underwriters at the initial public offering price. AH Equity Partners LSV III, L.L.C. ("AH EP LSV III"), the general partner of AH LSV Fund III and AH LSV Fund III-B, may be deemed to have sole voting and dispositive power over the shares held by AH LSV Fund III and AH LSV Fund III-B. AH Equity Partners 2022 Annual Fund, L.L.C. ("AH EP 2022 Annual"), the general partner of AH 2022 Annual, may be deemed to have sole voting and dispositive power over the shares held by AH 2022 Annual.
  2. (Continued from Footnote 1) Marc Andreessen and Benjamin Horowitz are the managing members of AH EP LSV III and AH EP 2022 Annual and may be deemed to have shared voting and dispositive power over the shares held by the AH LSV Fund III Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH LSV Fund III Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
  3. Each share of Series A Preferred Stock, Series B Preferred Stock, Series C Preferred Stock, Series D Preferred Stock, Series E Preferred Stock and Series F Preferred Stock automatically converted into a share of Class B Common Stock on a 1:1 basis immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, and had no expiration date. 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.
  4. These securities are held of record by Andreessen Horowitz Fund IV, L.P., for itself and as nominee for Andreessen Horowitz Fund IV-A, L.P., Andreessen Horowitz Fund IV-B, L.P., and Andreessen Horowitz Fund IV-Q, L.P. (collectively, the "AH Fund IV Entities"). AH Equity Partners IV, L.L.C. ("AH EP IV"), the general partner of the AH Fund IV Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH Fund IV Entities. Marc Andreessen and Benjamin Horowitz are the managing members of AH EP IV and may be deemed to have shared voting and dispositive power over the securities held by the AH Fund IV Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH Fund IV Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
  5. These securities are held of record by AH Parallel Fund IV, L.P., for itself and as nominee for AH Parallel Fund IV-A, L.P., AH Parallel Fund IV-B, L.P., and AH Parallel Fund IV-Q, L.P. (collectively, the "AH Parallel Fund IV Entities"). AH Equity Partners IV (Parallel), L.L.C. ("AH EP IV Parallel"), the general partner of the AH Parallel Fund IV Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH Parallel Fund IV Entities.
  6. (Continued from Footnote 5) Marc Andreessen and Benjamin Horowitz are the managing members of AH EP IV Parallel and may be deemed to have shared voting and dispositive power over the securities held by the AH Parallel Fund IV Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH Parallel Fund IV Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
  7. These securities are held of record by AH Parallel Fund V, L.P., for itself and as nominee for AH Parallel Fund V-A, L.P., AH Parallel Fund V-B, L.P., and AH Parallel Fund V-Q, L.P. (collectively, the "AH Parallel Fund V Entities"). AH Equity Partners V (Parallel), L.L.C. ("AH EP V Parallel"), the general partner of the AH Parallel Fund V Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH Parallel Fund V Entities.
  8. (Continued from Footnote 7) Marc Andreessen and Benjamin Horowitz are the managing members of AH EP V Parallel and may be deemed to have shared voting and dispositive power over the securities held by the AH Parallel Fund V Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH Parallel Fund V Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.
  9. These securities are held of record by Andreessen Horowitz LSV Fund I, L.P., for itself and as nominee for Andreessen Horowitz LSV Fund I-B, L.P. and Andreessen Horowitz LSV Fund I-Q, L.P. (collectively, the "AH LSV Fund I Entities"). AH Equity Partners LSV I, L.L.C. ("AH EP LSV I"), the general partner of the AH LSV Fund I Entities, may be deemed to have sole voting and dispositive power over the securities held by the AH LSV Fund I Entities. Marc Andreessen and Benjamin Horowitz are the managing members of AH EP LSV I and may be deemed to have shared voting and dispositive power over the securities held by the AH LSV Fund I Entities. Each of the Reporting Persons disclaims the existence of a "group" and disclaims beneficial ownership of the securities held by the AH LSV Fund I Entities and this report shall not be deemed an admission that any such person is the beneficial owner of such securities, except to the extent of such person's pecuniary interest therein, if any.