0000950170-23-049422.txt : 20230922
0000950170-23-049422.hdr.sgml : 20230922
20230922160103
ACCESSION NUMBER: 0000950170-23-049422
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: Blanchard Xavier
CENTRAL INDEX KEY: 0001979564
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41094
FILM NUMBER: 231271677
MAIL ADDRESS:
STREET 1: C/O VAHANNA TECH EDGE ACQUISITION I CORP
STREET 2: 17 LOCKWOOD AVENUE
CITY: OLD GREENWICH
STATE: CT
ZIP: 06870
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
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ownership.xml
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2023-09-20
0001868640
Roadzen Inc.
RDZN
0001979564
Blanchard Xavier
C/O ROADZEN INC.
111 ANZA BLVD. SUITE 109
BURLINGAME
CA
94010
false
true
false
false
See Remarks
false
Ordinary Share
2023-09-20
4
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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, (i) 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") and (ii) each restricted stock unit of Roadzen was assumed and converted into the right to receive 27.21 restricted stock units of the Issuer (each, an "Issuer RSU").
Each Issuer RSU represents the contingent right to receive one Issuer ordinary share. The securities reported herein represent Issuer ordinary shares underlying the Issuer RSUs issued under the Roadzen Inc. 2023 Omnibus Incentive Plan, as amended and/or restated from time to time (the "Plan"). The Issuer RSUs were issued to the Reporting Person pursuant to the Merger Agreement, which generally provided that, in connection with the closing of the merger, each unvested restricted stock unit in Roadzen would be assumed by the Issuer under the Plan as a "substitute award" and converted into the right to receive 27.21 Issuer RSUs. Each Issuer RSU fully vests on September 18, 2024, subject to the Reporting Person's continuous service with the Issuer through the vesting date.
Global Head of Strategy and Insurance
/s/ Jeremy Chang, Attorney-in-Fact
2023-09-22