Andreessen Horowitz LSV Fund III, L.P.'s Form 4 filing
Samsara Inc. (IOT) · filed Dec 21, 2021
- Accession no.
- 0000899243-21-049335
- Filed
- Dec 21, 2021, 9:56 PM ET
- Trade date
- Dec 17, 2021
- Filing delay
- 4 days
- Rule 10b5-1 plan
- Not on the form (before 2023)
This filing lists 1 non-derivative transaction and 14 derivative transactions. Open-market purchases total $91.9M. It was filed 4 days after the trade.
Reporting owners
A Form 4 can have several reporting owners, such as a person and a fund they control. Trade tables show the first one.
| Owner | Relationship to the company |
|---|---|
| Andreessen Horowitz LSV Fund III, L.P.CIK 0001889367 | 10% Owner |
| AH Equity Partners LSV III, L.L.C.CIK 0001889893 | 10% Owner |
| Andreessen Horowitz LSV Fund III-B, L.P.CIK 0001894619 | 10% Owner |
| AH Equity Partners 2022 Annual Fund, L.L.C.CIK 0001894740 | 10% Owner |
| AH 2022 Annual Fund, L.P.CIK 0001894744 | 10% Owner |
Non-derivative securities (Table I)
Acquisitions and disposals of common stock and similar shares, one row per line on the filing.
| Trade date | Security | Transaction | Shares | Price | Value | Shares after | Ownership | Flags |
|---|---|---|---|---|---|---|---|---|
| Dec 17, 2021 | Class A Common Stock | PPurchaseAcquired | +3,995,652 | $23.00 | +$91,899,996 | 3,995,652 | Indirect | Duplicate filing |
Derivative securities (Table II)
Options, warrants, restricted stock units and similar. Shares are the underlying shares; price and value are for the derivative itself, and the holding after is in derivative units.
| Trade date | Security | Transaction | Underlying shares | Unit price | Value | Held after | Ownership | Flags |
|---|---|---|---|---|---|---|---|---|
| Dec 17, 2021 | Class B Common Stock | CConversionDisposed | −40,492,830 | $0.00 | $0 | 0 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class A Common Stock | CConversionAcquired | +40,492,830 | $0.00 | $0 | 40,492,830 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class B Common Stock | CConversionDisposed | −9,259,278 | $0.00 | $0 | 0 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class A Common Stock | CConversionAcquired | +9,259,278 | $0.00 | $0 | 49,752,108 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class B Common Stock | CConversionDisposed | −3,951,276 | $0.00 | $0 | 0 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class A Common Stock | CConversionAcquired | +3,951,276 | $0.00 | $0 | 53,703,384 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class B Common Stock | CConversionDisposed | −4,313,218 | $0.00 | $0 | 0 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class A Common Stock | CConversionAcquired | +4,313,218 | $0.00 | $0 | 58,016,602 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class B Common Stock | CConversionDisposed | −4,974,501 | $0.00 | $0 | 0 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class A Common Stock | CConversionAcquired | +4,974,501 | $0.00 | $0 | 4,974,501 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class B Common Stock | CConversionDisposed | −5,633,880 | $0.00 | $0 | 0 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class A Common Stock | CConversionAcquired | +5,633,880 | $0.00 | $0 | 5,633,880 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class B Common Stock | CConversionDisposed | −13,561,282 | $0.00 | $0 | 0 | Indirect | Duplicate filing |
| Dec 17, 2021 | Class A Common Stock | CConversionAcquired | +13,561,282 | $0.00 | $0 | 13,561,282 | Indirect | Duplicate filing |
Footnotes and remarks
Livermore keeps the footnotes that transaction prices refer to, all footnotes of amendments (Form 4/A) and the filing's remarks. Other footnotes, such as how indirect holdings are held or the details of a trading plan, are only in the original on SEC EDGAR.
No transaction price on this filing refers to a footnote.
Remarks
This Form 4 is one of three Form 4s filed relating to the same event. Combined, the three reports report the holdings for the following reporting persons: Andreessen Horowitz Fund IV, L.P., Andreessen Horowitz Fund IV-A, L.P., Andreessen Horowitz Fund IV-B, L.P., Andreessen Horowitz Fund IV-Q, L.P., Andreessen Horowitz LSV Fund I, L.P., Andreessen Horowitz LSV Fund I-B, L.P., Andreessen Horowitz LSV Fund I-Q, L.P., AH Parallel Fund IV, L.P., AH Parallel Fund IV-A, L.P., AH Parallel Fund IV-B L.P., AH Parallel Fund IV-Q, L.P., AH Parallel Fund V, L.P., AH Parallel Fund V-A, L.P., AH Parallel Fund V-B L.P., AH Parallel Fund V-Q, L.P., Andreessen Horowitz LSV Fund III, L.P., Andreessen Horowitz LSV Fund III-B, L.P., AH 2022 Annual Fund, L.P., AH Equity Partners IV, L.L.C., AH Equity Partners LSV I, L.L.C., AH Equity Partners IV (Parallel), L.L.C., AH Equity Partners V (Parallel), L.L.C., AH Equity Partners LSV III, L.L.C., AH Equity Partners 2022 Annual Fund, L.L.C. and Benjamin Horowitz. This Form 4 has been split into three filings because there are more than 10 reporting persons in total, and the SEC's EDGAR filing system limits a single Form 4 to a maximum of 10 reporting persons.