Form 4 for IOT Samsara Inc.
Accepted 2021-12-16 00:00:00 ET · period of report 2021-12-14 · accession 0000899243-21-048665 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| D | 2021-12-16 | 2021-12-14 | IOT | See remarks | C - Cnv Deriv | $0.00 | +2.41M | 2.41M | New | $0 | |
| D | 2021-12-16 | 2021-12-14 | IOT | See remarks | C - Cnv Deriv | $0.00 | -2.41M | 0 | -100% | $0 | |
| D | 2021-12-16 | 2021-12-14 | IOT | See remarks | A - Grant | $0.00 | +2.80M | 2.80M | New | $0 | |
| D | 2021-12-16 | 2021-12-14 | IOT | See remarks | F - Tax | $0.00 | -394.3K | 2.41M | -14% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Class A Common Stock | 2021-12-14 | C | A | 2,410,023 | $0.00 | 2,410,023 | D | — | — | (F1) The reported shares are represented by restricted stock units, or RSUs, of which 1,243,956 vested upon the effectiveness of the Issuer's registration statement in connection with its initial public offering of Class A Common Stock and the remaining shares vest as follows: (i) 885,900 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023, (ii) 245,036 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023 and (iii) 429,476 vest in quarterly installments beginning on March 15, 2022 through March 15, 2025. |
| 2 | Derivative | Class B Common Stock | 2021-12-14 | C | D | 2,410,023 | $0.00 | 0 | D | $0.00 · — to — | 2,410,023 Class A Common Stock | (F1) The reported shares are represented by restricted stock units, or RSUs, of which 1,243,956 vested upon the effectiveness of the Issuer's registration statement in connection with its initial public offering of Class A Common Stock and the remaining shares vest as follows: (i) 885,900 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023, (ii) 245,036 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023 and (iii) 429,476 vest in quarterly installments beginning on March 15, 2022 through March 15, 2025. (F2) 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. |
| 3 | Derivative | Class B Common Stock | 2021-12-14 | A | A | 2,804,368 | $0.00 | 2,804,368 | D | $0.00 · — to — | 2,804,368 Class B Common Stock | (F1) The reported shares are represented by restricted stock units, or RSUs, of which 1,243,956 vested upon the effectiveness of the Issuer's registration statement in connection with its initial public offering of Class A Common Stock and the remaining shares vest as follows: (i) 885,900 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023, (ii) 245,036 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023 and (iii) 429,476 vest in quarterly installments beginning on March 15, 2022 through March 15, 2025. (F2) 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. |
| 4 | Derivative | Class B Common Stock | 2021-12-14 | F | D | 394,345 | $0.00 | 2,410,023 | D | $0.00 · — to — | 394,345 Class A Common Stock | (F1) The reported shares are represented by restricted stock units, or RSUs, of which 1,243,956 vested upon the effectiveness of the Issuer's registration statement in connection with its initial public offering of Class A Common Stock and the remaining shares vest as follows: (i) 885,900 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023, (ii) 245,036 vest in quarterly installments beginning on March 15, 2022 through December 15, 2023 and (iii) 429,476 vest in quarterly installments beginning on March 15, 2022 through March 15, 2025. (F2) 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. |