Filing Details

Accession Number:
0000950170-23-070593
Form Type:
4
Zero Holdings:
No
Publication Time:
2023-12-15 10:00:59
Reporting Period:
2023-12-07
Accepted Time:
2023-12-15 10:00:59
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 2023-12-07 3,150 $3.20 3,150 No 4 P Direct
Ordinary Shares Acquisiton 2023-12-08 3,100 $3.11 6,250 No 4 P Direct
Ordinary Shares Acquisiton 2023-12-11 2,000 $2.91 8,250 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
No 4 P Direct
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Ordinary Shares Warrants (right to buy) Acquisiton 2023-12-08 750 $0.06 750 $11.50
Ordinary Shares Warrants (right to buy) Acquisiton 2023-12-11 5,000 $0.05 5,000 $11.50
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
750 2023-12-08 2028-09-20 No 4 P Direct
5,750 2023-12-11 2028-09-20 No 4 P 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 $3.05 to $3.33, 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 ranges set forth in footnotes (1) through (4) to this Form 4.
  2. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $3.05 to $3.20, inclusive.
  3. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $2.90 to $2.92, inclusive.
  4. The price reported in Column 8 is a weighted average price. These warrants were purchased in multiple transactions at prices ranging from $0.05 to $0.06, inclusive.