Filing Details

Accession Number:
0000950170-23-070618
Form Type:
4
Zero Holdings:
No
Publication Time:
2023-12-15 11:12:23
Reporting Period:
2023-12-12
Accepted Time:
2023-12-15 11:12:23
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1868640 Roadzen Inc. RDZN () CA
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1008036 Ajay Shah 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 2023-12-12 5,000 $3.08 477,399 No 4 P Indirect See Footnote
Ordinary Shares Acquisiton 2023-12-13 10,000 $3.10 487,399 No 4 P Indirect See Footnote
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect See Footnote
No 4 P Indirect See Footnote
Footnotes
  1. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $2.96 to $3.09, 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 ranges set forth in footnotes (1) and (3) to this Form 4.
  2. The securities are held by Krishnan-Shah Family Partners LP. Ajay B. Shah & Lata K. Shah 1996 Trust LP is the general partner of Krishnan-Shah Family Partners LP (the "General Partner"). Mr. Shah and his wife, Mrs. Lata K. Shah, are the trustees of the General Partner and have voting and dispositive control over the securities held by Krishnan-Shah Family Partners LP. Accordingly, Mr. Shah and Mrs. Shah may be deemed to beneficially own the securities held by Krishnan-Shah Family Partners LP.
  3. The price reported in Column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $2.96 to $3.15, inclusive.