Steven J. Carlson - Dec 27, 2024 Form 4 Insider Report for Roadzen Inc. (RDZN)

Role
Director
Signature
Jean-Noel Gallardo, Attorney-in-fact
Stock symbol
RDZN
Transactions as of
Dec 27, 2024
Transactions value $
$0
Form type
4
Date filed
12/31/2024, 06:12 PM
Previous filing
Feb 16, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding RDZN Ordinary Shares 893K Dec 27, 2024 See footnote F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On December 27, 2024, the Reporting Person entered into a Subscription Agreement with Roadzen Inc., a British Virgin Islands company (the "Company"), pursuant to which the Company issued to the Reporting Person 892,857 ordinary shares, par value $0.0001 per share, of the Company, in consideration for the extinguishment of all liabilities associated with certain service arrangement between the Reporting Person and the Company, including, without limitation, an aggregate amount of $2,500,000 the Company owed to the Reporting Person.
F2 Marco Polo Securities, Inc. ("MP") is the record holder of these ordinary shares. Mr. Carlson is the chief executive officer of MP, a corporation incorporated in the State of New York with offices located at 1230 Avenue of the Americas, 16th Floor, New York, NY 10020, and as such may be deemed to have beneficial ownership of the ordinary shares held directly by MP. Mr. Carlson disclaims any beneficial ownership of the shares held by MP, except to the extent of his pecuniary interest therein.