Calderon Benjamin 4

4 · Samsara Inc. · Filed Jan 9, 2023

Form 4

Period: 2023-01-09

See remarks

Transactions

Conversion
Class A Common Stock
2023-01-09+150,000→ 578,315 total
Conversion
Class A Common Stock
2023-01-09+320,833→ 428,315 total
Conversion
Class B Common Stock
2023-01-09−150,000→ 8,931,564 total
Exercise: $0.00→ Class A Common Stock (150,000 underlying)
Conversion
Class B Common Stock
2023-01-09−320,833→ 9,081,564 total
Exercise: $0.00→ Class A Common Stock (320,833 underlying)

Holdings

Class B Common Stock
(indirect: See footnote)
Exercise: $0.00→ Class A Common Stock (908,700 underlying)
908,700
Class B Common Stock
(indirect: See footnote)
Exercise: $0.00→ Class A Common Stock (908,700 underlying)
908,700
Class B Common Stock
(indirect: See footnote)
Exercise: $0.00→ Class A Common Stock (908,700 underlying)
908,700
Class B Common Stock
(indirect: See footnote)
Exercise: $0.00→ Class A Common Stock (290,000 underlying)
290,000

Footnotes (5)

[F1]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 Fall MC, LLC, over which Mr. Calderon has voting or investment power.
[F3]Consists of shares held by Summer NC, LLC, over which Mr. Calderon has voting or investment power.
[F4]Consists of shares held by Winter EC, LLC, over which Mr. Calderon has voting or investment power.
[F5]Consists of shares held by CH 2021 GRAT, over which Mr. Calderon has voting or investment power.

Documents

1 file