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