0000950170-24-076852.txt : 20240624 0000950170-24-076852.hdr.sgml : 20240624 20240624170006 ACCESSION NUMBER: 0000950170-24-076852 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240620 FILED AS OF DATE: 20240624 DATE AS OF CHANGE: 20240624 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: VedBrat Supurna CENTRAL INDEX KEY: 0001979567 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41094 FILM NUMBER: 241065100 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] 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 2024-06-20 0001868640 Roadzen Inc. RDZN 0001979567 VedBrat Supurna C/O ROADZEN INC. 111 ANZA BLVD. SUITE 109 BURLINGAME CA 94010 true false false false false Warrants 2024-06-20 4 J false 50000 A 2031-03-28 Ordinary Shares 50000 50000 D The exercise price of the warrants reported herein (the "Warrants") is equal to 80% of the lower of (i) the volume-weighted average price ("VWAP") of the ordinary shares of the Issuer, as reported on relevant market or exchange, over the 60 trading days subsequent to the first loan funding under the Notes (as defined below), (ii) the opening price of the Issuer's ordinary shares, as reported on the relevant market or exchange, in any public offering of straight equity securities of the Issuer occurring within six months after the issue date of the warrants and (iii) the VWAP of the Issuer's ordinary shares, as reported on the relevant market or exchange, over the 60 trading days immediately prior to the Vesting Date (as defined below). The Warrants were issued to the reporting person pursuant to a Securities Purchase Agreement dated as of March 28, 2024 by and among the Issuer, Krishnan-Shah Family Partners, LP ("KSFP") and the reporting person, and in connection with a loan made by the reporting person to the Issuer on March 28, 2024, as evidenced by a senior secured promissory note issued by the Issuer (together with a senior secured promissory note issued by the Issuer to KSFP, the "Notes"). The Warrants are exercisable in full on March 28, 2025, or earlier under certain circumstances (as applicable, the "Vesting Date"). Bruce Goldberg, Attorney-in-fact 2024-06-24