Form 4 for IOT Samsara Inc.
Accepted 2021-12-16 00:00:00 ET · period of report 2021-12-14 · accession 0000899243-21-048672 · 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 | Eltoukhy Adam | See remarks | C - Cnv Deriv | $0.00 | +517.7K | 517.7K | New | $0 |
| D | 2021-12-16 | 2021-12-14 | IOT | Eltoukhy Adam | See remarks | A - Grant | $0.00 | +517.7K | 517.7K | New | $0 |
| D | 2021-12-16 | 2021-12-14 | IOT | Eltoukhy Adam | See remarks | C - Cnv Deriv | $0.00 | -517.7K | 0 | -100% | $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 | 517,674 | $0.00 | 517,674 | D | — | — | (F1) The reported shares are represented by restricted stock units, or RSUs, of which 223,392 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) 41,909 vest in quarterly installments beginning on March 15, 2022 through December 15, 2022, (ii) 14,823 vest in quarterly installments beginning on March 15, 2022 through September 15, 2023, (iii) 7,913 vest in quarterly installments beginning on March 15, 2022 through December 15, 2024 and (iv) 229,637 vest in quarterly installments beginning on March 15, 2022 through March 15, 2025. |
| 2 | Derivative | Class B Common Stock | 2021-12-14 | A | A | 517,674 | $0.00 | 517,674 | D | $0.00 · — to — | 517,674 Class B Common Stock | (F1) The reported shares are represented by restricted stock units, or RSUs, of which 223,392 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) 41,909 vest in quarterly installments beginning on March 15, 2022 through December 15, 2022, (ii) 14,823 vest in quarterly installments beginning on March 15, 2022 through September 15, 2023, (iii) 7,913 vest in quarterly installments beginning on March 15, 2022 through December 15, 2024 and (iv) 229,637 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 | C | D | 517,674 | $0.00 | 0 | D | $0.00 · — to — | 517,674 Class A Common Stock | (F1) The reported shares are represented by restricted stock units, or RSUs, of which 223,392 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) 41,909 vest in quarterly installments beginning on March 15, 2022 through December 15, 2022, (ii) 14,823 vest in quarterly installments beginning on March 15, 2022 through September 15, 2023, (iii) 7,913 vest in quarterly installments beginning on March 15, 2022 through December 15, 2024 and (iv) 229,637 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. |