0001213900-24-022216.txt : 20240313 0001213900-24-022216.hdr.sgml : 20240313 20240313170003 ACCESSION NUMBER: 0001213900-24-022216 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240312 FILED AS OF DATE: 20240313 DATE AS OF CHANGE: 20240313 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rosa David A CENTRAL INDEX KEY: 0001540354 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40903 FILM NUMBER: 24746807 MAIL ADDRESS: STREET 1: 10901 RED CIRCLE DRIVE STREET 2: SUITE 150 CITY: MINNETONKA STATE: MN ZIP: 55343 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Healthcare Triangle, Inc. CENTRAL INDEX KEY: 0001839285 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER INTEGRATED SYSTEMS DESIGN [7373] ORGANIZATION NAME: 06 Technology IRS NUMBER: 843559776 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 4309 HACIENDA DR. STREET 2: SUITE 150 CITY: PLEASANTON STATE: CA ZIP: 945888 BUSINESS PHONE: 925-270-4812 MAIL ADDRESS: STREET 1: 4309 HACIENDA DR. STREET 2: SUITE 150 CITY: PLEASANTON STATE: CA ZIP: 945888 4 1 ownership.xml X0508 4 2024-03-12 0 0001839285 Healthcare Triangle, Inc. HCTI 0001540354 Rosa David A 7901 STONERIDGE DRIVE SUITE 220 PLEASANTON CA 94588 1 0 0 0 0 Incentive Stock Option (Right To Buy) 1.78 2024-03-12 4 A 0 10000 0.00 A 2024-03-12 2029-03-12 Common Stock 10000 34000 D On May 26, 2023, the Issuer effected a 1-for-10 reverse stock split of its common stock (the "Reverse Split"). Unless otherwise noted, the amount of securities and purchase prices reported on this Form 4 have been adjusted to reflect the Reverse Split. Incentive stock option granted 03/12/2024 under the Company's 2020 Stock Incentive Plan. All options expire within a 5-year period, with all 10,000 options vesting immediately. /s/ David Rosa 2024-03-13