# EDGAR Filing Document

**Accession Number:** 0001642896
**File Stem:** 0001209191-23-018967
**Filing Date:** 2023-3
**Character Count:** 10286
**Document Hash:** 5ce9bd7c432942d5c115e693c0787932
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001209191-23-018967.hdr.sgml**: 20230315

**ACCESSION NUMBER**: 0001209191-23-018967

**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:** Bicket John
- **CENTRAL INDEX KEY:** 0001895106

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-41140
- **FILM NUMBER:** 23736377

**MAIL ADDRESS:**
- **STREET 1:** 350 RHODE ISLAND STREET
- **STREET 2:** 4TH FLOOR, SOUTH BUILDING
- **CITY:** SAN FRANCISCO
- **STATE:** CA
- **ZIP:** 94103
**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>Bicket John<br><sub>(Last) (First) (Middle)</sub><br>C/O SAMSARA INC.<br>1 DE HARO STREET<br><sub>(Street)</sub><br>SAN FRANCISCO, CA 94107<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>[X] Officer (give title below) [ ] Other (specify below)<br>_See remarks_ |
| **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 |  | 90295 | A | $0.00 | 118102 | I | See footnote<sup>(1)</sup> |
| Class A Common Stock | 2023-03-13 |  | S<sup>(2)</sup> |  | 90295 | D | 19.4272<sup>(3)</sup> | 27807 | I | See footnote<sup>(1)</sup> |
| Class A Common Stock |  |  |  |  |  |  |  | 369476<sup>(4)</sup> | D |  |

---

## 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 |  |  | 90295 | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 90295 | $0.00 | 86364280 | I | See footnote<sup>(1)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 152564 |  | 152564 | D |  |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 1283986 |  | 1283986 | I | See footnote<sup>(6)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 790328 |  | 790328 | I | See footnote<sup>(7)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 17312164 |  | 17312164 | I | See footnote<sup>(8)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 790328 |  | 790328 | I | See footnote<sup>(9)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 1286597 |  | 1286597 | I | See footnote<sup>(10)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 4466764 |  | 4466764 | I | See footnote<sup>(11)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 250000 |  | 250000 | I | See footnote<sup>(12)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 250000 |  | 250000 | I | See footnote<sup>(13)</sup> |
| Class B Common Stock | $0.00 |  |  |  |  |  |  | <sup>(5)</sup> | <sup>(5)</sup> | Class A Common Stock | 250000 |  | 250000 | I | See footnote<sup>(14)</sup> |

---

### Footnotes:

(1) Consists of shares held by John C. Bicket, Trustee of the John C. Bicket Revocable Trust u/a/d 2/15/2013, over which the Reporting Person has voting or investment power.

(2) The sales reported by the Reporting Person were effected pursuant to a Rule 10b5-1 trading plan.

(3) The "Amount" and "Price" reported in this Column 4 reflect the aggregate number and weighted-average price, respectively, of shares sold. These shares were sold in multiple transactions at prices ranging from $18.84 to $19.82 inclusive. The Reporting Person undertakes to provide to the issuer, any security holder of the issuer, or the SEC staff, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth herein.

(4) Certain of these securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Class A Common Stock, subject to the applicable vesting schedule and conditions of each RSU.

(5) 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.

(6) Consists of shares held by John C. Bicket and CBD, Co-Trustees of the Bicket-Dobson Revocable Trust u/a/d 12/23/20, over which the Reporting Person has voting or investment power.

(7) Consists of shares held by John C. Bicket, Trustee of the John C. Bicket 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power.

(8) Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust II u/a/d 10/8/2021, over which the Reporting Person has voting or investment power.

(9) Consists of shares held by CBD, Trustee of the CBD 2023 Annuity Trust u/a/d 1/22/2023, over which the Reporting Person has voting or investment power.

(10) Consists of shares held by the Reporting Person's spouse.

(11) Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.

(12) Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo ACDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.

(13) Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A fbo JCDB u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.

(14) Consists of shares held by Jordan Park Trust Company, LLC, Trustee of The Bicket-Dobson Trust I-A u/a/d 11/10/2021, over which the Reporting Person has voting or investment power.

**Remarks:**
Executive Vice President, Chief Technology Officer

**Signature:** /s/ Adam Eltoukhy, attorney-in-fact on behalf of John Bicket  
**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.**