# EDGAR Filing Document

**Accession Number:** 0001642896
**File Stem:** 0000899243-23-008690
**Filing Date:** 2023-3
**Character Count:** 9017
**Document Hash:** 162a9a31c147c3bb5ba91fbcc7956002
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0000899243-23-008690.hdr.sgml**: 20230315

**ACCESSION NUMBER**: 0000899243-23-008690

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 1

**CONFORMED PERIOD OF REPORT**: 20230313

**FILED AS OF DATE**: 20230315

**DATE AS OF CHANGE**: 20230315

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** Taneja Hemant
- **CENTRAL INDEX KEY:** 0001545563

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-41140
- **FILM NUMBER:** 23736966

**MAIL ADDRESS:**
- **STREET 1:** C/O GENERAL CATALYST
- **STREET 2:** 20 UNIVERSITY ROAD, 4TH FLOOR
- **CITY:** CAMBRIDGE
- **STATE:** MA
- **ZIP:** 02138
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Samsara Inc.
- **CENTRAL INDEX KEY:** 0001642896
- **STANDARD INDUSTRIAL CLASSIFICATION:** SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373]
- **IRS NUMBER:** 473100039
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 0128

**BUSINESS ADDRESS:**
- **STREET 1:** 1 DE HARO STREET
- **CITY:** SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94107
- **BUSINESS PHONE:** (415) 985-2400

**MAIL ADDRESS:**
- **STREET 1:** 1 DE HARO STREET
- **CITY:** SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94107

**FORMER COMPANY:**
- **FORMER CONFORMED NAME:** Samsara Networks Inc.
- **DATE OF NAME CHANGE:** 20150520

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>Taneja Hemant<br><sub>(Last) (First) (Middle)</sub><br>C/O GENERAL CATALYST PARTNERS<br>20 UNIVERSITY ROAD, 4TH FLOOR<br><sub>(Street)</sub><br>CAMBRIDGE, MA 02138<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-13 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [X] 10% Owner<br>[ ] Officer (give title below) [ ] Other (specify below)<br>_ _ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>Samsara Inc. [ IOT ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| Class A Common Stock | 2023-03-13 |  | C |  | 3000000 | A | $0.00 | 3000000 | I | Directly held by General Catalyst Group VIII, L.P.<sup>(1)(2)</sup> |
| Class A Common Stock | 2023-03-13 |  | S |  | 3000000 | D | $18.86 | 0 | D |  |
| Class A Common Stock |  |  |  |  |  |  |  | 2000000 | I | Directly held by General Catalyst Group XI - Endurance, L.P.<sup>(3)</sup> |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Class B Common Stock | $0.00 | 2023-03-13 |  | C |  |  | 3000000 | <sup>(4)</sup> | <sup>(4)</sup> | Class A Common Stock | 3000000 | $0.00 | 11187815 | I | Directly held by General Catalyst Group VIII, L.P. |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(4)</sup> | <sup>(4)</sup> | Class A Common Stock | 14187815 |  | 14187815 | I | Directly held by General Catalyst Group VIII Supplemental, L.P. |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(4)</sup> | <sup>(4)</sup> | Class A Common Stock | 3943716 |  | 3943716 | I | Directly held by GC Venture VIII, LLC |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(4)</sup> | <sup>(4)</sup> | Class A Common Stock | 8588813 |  | 8588813 | I | Directly held by GC Venture VIII-B, LLC |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(4)</sup> | <sup>(4)</sup> | Class A Common Stock | 4520428 |  | 4520428 | I | Directly held by General Catalyst Group X - Endurance, L.P. |

---

### Footnotes:

(1) General Catalyst Group Management Holdings GP, LLC ("GCGMH LLC") is the general partner of General Catalyst Group Management Holdings, L.P. ("GCGMH"), which is the manager of General Catalyst Group Management, LLC ("GCGM LLC"), which is (a) the manager of GC Venture VIII Manager, LLC ("GCVVIII Manager"), which is the manager of GC Venture VIII, LLC ("GCVVIII"), (b) the manager of GC Venture VIII-B Manager, LLC, which is the manager of GC Venture VIII-B, LLC ("GCVVIIIB"), (c) the manager of General Catalyst GP VIII, LLC ("GCGPVIII"), which is the general partner of General Catalyst Partners VIII, L.P., which is the general partner of General Catalyst Group VIII, L.P. ("GCGVIII") and General Catalyst Group VIII Supplemental, L.P. ("GCGVIIIS") and (d) the manager of General Catalyst GP X - Growth Venture, LLC, which is the general partner of General Catalyst Partners X - Growth Venture, L.P., which is the general partner of General Catalyst Group X - Endurance, L.P. ("GCGXE").

(2) (Continued from Footnote 1) Kenneth Chenault, Joel Cutler, David Fialkow and the Reporting Person are managing members of GCGMH LLC, and, as a result, may be deemed to share voting and investment power with respect to the shares held by GCVVIII, GCVVIIIB, GCGVIIIS, GCGVIII and GCGXE. Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.

(3) GCGMH LLC is the general partner of GCGMH, which is the manager of GCGM LLC, which is the manager of General Catalyst Endurance GP XI, LLC, which is the general partner of General Catalyst Partners XI - Endurance, L.P., which is the general partner of General Catalyst Group XI - Endurance, L.P. ("GCGXIE"). Kenneth Chenault, Joel Cutler, David Fialkow and the Reporting Person are managing members of GCGMH LLC, and, as a result, may be deemed to share voting and investment power with respect to the shares held by GCGXIE. Each party named above disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.

(4) 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.

**Signature:** /s/ Christopher McCain, attorney-in-fact on behalf of Hemant Taneja  
**Date:** 2023-03-15

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**