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Filing Details

Accession Number:: 0000950170-24-130334
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2024-11-22 18:41:10
Reporting Period:: 2024-11-21

Accepted Time:: 2024-11-22 18:41:10
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1868640	Roadzen Inc.	RDZN	Insurance Agents, Brokers & Service (6411)	981600102

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1979568	Rohan Malhotra	C/O Roadzen Inc. 111 Anza Blvd. Suite 109 Burlingame CA 94010	See Remarks	No	No	No	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
Ordinary Shares	Acquisiton	2024-11-21	3,000	$0.82	776,160	No	4	P	Direct
Ordinary Shares	Acquisiton	2024-11-22	3,750	$0.85	779,910	No	4	P	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Direct
No	4	P	Direct

Reported Non-Derivative Holdings

Sec. Name	Remaning Holdings	Nature of Ownership	Explanation
Ordinary Shares	17,138,213	Indirect	See footnote
Ordinary Shares	45,854	Indirect	See footnote
Ordinary Shares	5,616,485	Direct

Footnotes

The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $0.80 to $0.83, inclusive. The reporting person undertakes to provide to Roadzen Inc., any security holder of Roadzen Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $0.81 to $0.85, inclusive. The reporting person undertakes to provide to Roadzen Inc., any security holder of Roadzen Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the range set forth in this footnote.
Avacara Pte Ltd. ("Avacara") is the record holder of these ordinary shares. Mr. Malhotra is the majority shareholder and managing director of Avacara, a Singapore corporation with offices located at 14 Robinson Road, #12-01/02, Far East Finance Building, Singapore, 048545, and as such may be deemed to have beneficial ownership of the ordinary shares held directly by Avacara. Mr. Malhotra disclaims any beneficial ownership of the shares held by Avacara, except to the extent of his pecuniary interest therein.
RM Securities LLC is the record holder of these ordinary shars. Mr. Malhotra is the sole member of RM Securities LLC and as such may be deemed to have beneficial ownership of the ordinary shares held directly by RM Securities LLC. Mr. Malhotra disclaims any beneficial ownership of the shares held by RM Securities LLC, except to the extent of his pecuniary interest therein.
Represents ordinary shares underlying restricted stock units ("RSUs") issued under the Roadzen Inc. 2023 Omnibus Incentive Plan, as amended and/or restated from time to time (the "Plan"). Each RSU represents the contingent right to receive one Issuer ordinary share. Each RSU fully vests on September 18, 2025, subject to the Reporting Person's continuous service with the Issuer through the vesting date. Form 4s filed by the Reporting Person prior to the date of this Form 4 incorrectly stated that each RSU fully vests on September 18, 2024, subject to the Reporting Person's continuous service with the Issuer through the vesting date.