SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
VENKATACHARI SURESH

(Last) (First) (Middle)
7901 STONERIDGE DRIVE
SUITE 220

(Street)
PLEASANTON CA 94588

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Healthcare Triangle, Inc. [ HCTI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director X 10% Owner
X Officer (give title below) Other (specify below)
Chief Executive Officer
3. Date of Earliest Transaction (Month/Day/Year)
11/09/2022
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 07/12/2021 A 750,000 A $0.001 750,000 D
Common Stock 05/08/2020 A 25,500,000 A $0.3 25,500,000 I Note(1)
Super Voting Preferred Stock 07/12/2021 A 6,000 A $0.00 6,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Incentive Stock Option (right to buy) $0.4 12/31/2021 01/01/2026 Common Stock 150,000(2) 150,000 D
Incentive Stock Option (right to buy) $0.4 07/12/2021 07/12/2026 Common Stock 250,000(3) 250,000 D
Stock Option (Right To Buy) $0.19 11/09/2022 11/09/2027 Common Stock 250,000(4) 350,000 D
Explanation of Responses:
1. Consists of 25,500,000 shares of Common Stock owned directly by SecureKloud Technologies, Inc., a Nevada corporation ("SKT"), and thus owned indirectly by Mr. Venkatachari due to his voting control over HCTI Common Stock through his position as a director and the Chief Executive Officer and the beneficial owner of 37% of the voting securities of SKT, and his position as a director and the Chief Executive Officer of SecureKloud Technologies, Ltd., a publicly traded company in India, that is the 65.2% owner of SKT.
2. Incentive stock option granted on January 1, 2021 of which 25% vested on December 31, 2021, the remaining balance of which vests monthly over 36 months.
3. Granted pursuant to Mr. Venkatachari's employment agreement dated July 12, 2021 and filed as Exhibit 10.13 to Pre-Effective Amendment No. 4 to the Registration Statement on Form S-1 by Healthcare Triangle, Inc. (File No. 333-259180) on October 8, 2021.
4. Incentive stock option granted 11/09/2022 under the Company's 2020 Plan. The options vested immediately, and are for a 5-year period.
/s/ Suresh Venkatachari 11/14/2022
** Signature of Reporting Person Date
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).
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