0000950170-24-065942.txt : 20240529 0000950170-24-065942.hdr.sgml : 20240529 20240529161503 ACCESSION NUMBER: 0000950170-24-065942 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240524 FILED AS OF DATE: 20240529 DATE AS OF CHANGE: 20240529 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gallardo Jean-Noel CENTRAL INDEX KEY: 0002010174 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41094 FILM NUMBER: 24998573 MAIL ADDRESS: STREET 1: 111 ANZA BLVD STREET 2: SUITE 109 CITY: BURLINGAME STATE: CA ZIP: 94010 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Roadzen Inc. CENTRAL INDEX KEY: 0001868640 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] ORGANIZATION NAME: 02 Finance 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: 650-414-3530 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 2024-05-24 0001868640 Roadzen Inc. RDZN 0002010174 Gallardo Jean-Noel C/O ROADZEN INC. 111 ANZA BLVD., SUITE 109 BURLINGAME CA 94010 false true false false Chief Financial Officer false Common Stock 2024-05-24 4 A false 115000 0 A 115000 D On May 24, 2024, the reporting person received a grant of 115,000 restricted stock units ("RSUs") under the Issuer's 2023 Omnibus Incentive Plan, with each RSU representing a contingent right to receive one ordinary share of the Issuer. The RSUs vest as follows: 38,333 on November 21, 2024, 38,333 on November 21, 2025 and 38,334 on November 21, 2026. /s/ Bruce Goldberg, Attorney-in-fact 2024-05-29