Filing Details

Accession Number:
0000950170-25-030956
Form Type:
4
Zero Holdings:
No
Publication Time:
2025-03-03 16:53:57
Reporting Period:
2025-02-27
Filing Date:
2025-03-03
Accepted Time:
2025-03-03 16:53:57
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
1979567 Supurna Vedbrat C/O Roadzen Inc.
111 Anza Blvd. Suite 109
Burlingame CA 94010
No No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Ordinary Shares Acquisiton 2025-02-27 6,000 $1.03 18,050 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Ordinary Shares Warrants Acquisiton 2025-02-27 600 $0.06 600 $11.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
6,350 No 4 P Direct
Reported Derivative Holdings
Sec. Name Sec. Type Price Date Expiration Date Amount Remaning Holdings Nature of Ownership
Ordinary Shares Convertible Debentures $8.50 2024-01-19 2025-12-15 58,823 0 Direct
Ordinary Shares Warrants $0.00 2031-03-28 100,000 100,000 Direct
Expiration Date Amount Remaning Holdings Nature of Ownership
2025-12-15 58,823 0 Direct
2031-03-28 100,000 100,000 Direct
Footnotes
  1. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $1.00 to $1.09, 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.
  2. The warrants to purchase Ordinary Shares of Roadzen Inc. (the "Public Warrants"), are exercisable for a whole number of Ordinary Shares at any time (subject to certain exceptions provided by the governing warrant agreement).
  3. The Public Warrants will expire on September 20, 2028, at 5:00 p.m., New York City time, or earlier upon redemption or liquidation.
  4. 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).
  5. The Warrants are exercisable in full on March 28, 2025, or earlier under certain circumstances (as applicable, the "Vesting Date").