0000950170-23-049383.txt : 20230922
0000950170-23-049383.hdr.sgml : 20230922
20230922144444
ACCESSION NUMBER: 0000950170-23-049383
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230920
FILED AS OF DATE: 20230922
DATE AS OF CHANGE: 20230922
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: SHAH AJAY
CENTRAL INDEX KEY: 0001008036
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41094
FILM NUMBER: 231271307
MAIL ADDRESS:
STREET 1: 2775 SAND HILL ROAD, SUITE 100
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Roadzen Inc.
CENTRAL INDEX KEY: 0001868640
STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411]
IRS NUMBER: 981600102
STATE OF INCORPORATION: D8
FISCAL YEAR END: 0331
BUSINESS ADDRESS:
STREET 1: 111 ANZA BLVD., SUITE 109
CITY: BURLINGAME
STATE: CA
ZIP: 94010
BUSINESS PHONE: 6504143530
MAIL ADDRESS:
STREET 1: 111 ANZA BLVD., SUITE 109
CITY: BURLINGAME
STATE: CA
ZIP: 94010
FORMER COMPANY:
FORMER CONFORMED NAME: Vahanna Tech Edge Acquisition I Corp.
DATE OF NAME CHANGE: 20210621
4
1
ownership.xml
4
X0508
4
2023-09-20
0001868640
Roadzen Inc.
RDZN
0001008036
SHAH AJAY
C/O ROADZEN INC.
111 ANZA BLVD. SUITE 109
BURLINGAME
CA
94010
true
false
false
false
false
Ordinary Share
2023-09-20
4
J
false
472399
A
472399
I
See Footnote
On September 20, 2023, the Issuer, formerly known as Vahanna Tech Edge Acquisition I Corp., acquired Roadzen, Inc. ("Roadzen") pursuant to an Agreement and Plan of Merger, as amended, by and among the Issuer, Roadzen and certain other parties thereto (the "Merger Agreement"). Pursuant to the Merger Agreement, each outstanding share of Roadzen common stock, including common stock issued upon conversion of each outstanding share of Roadzen preferred stock, held by the Reporting Person was cancelled and converted into the right to receive 27.21 ordinary shares of the Issuer ("Issuer ordinary shares").
The securities are held by Krishnan-Shah Family Partners LP. Ajay B. Shah & Lata K. Shah 1996 Trust LP is the general partner of Krishnan-Shah Family Partners LP (the "General Partner"). Mr. Shah and his wife, Mrs. Lata K. Shah are the trustees of the General Partner and have voting and dispositive control over the securities held by Krishnan-Shah Family Partners LP. Accordingly, Mr. Shah and Mrs. Shah may be deemed to beneficially own the securities held by Krishnan-Shah Family Partners LP.
/s/ Jeremy Chang, Attorney-in-Fact
2023-09-22