Filing Details

Accession Number:
0001209191-21-003765
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-01-15 16:19:38
Reporting Period:
2021-01-13
Accepted Time:
2021-01-15 16:19:38
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1820953 Affirm Holdings Inc. AFRM () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1539865 Keith Rabois One Letterman Drive
Building D, 5Th Floor
San Francisco CA 94129
Yes 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
Class A Common Stock Acquisiton 2021-01-13 75,000 $49.00 75,000 No 4 P Indirect By The Founders Fund Affirm Growth, LLC
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By The Founders Fund Affirm Growth, LLC
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class A Common Stock 2,205,293 Indirect By The Founders Fund VI, LP
Class A Common Stock 545,294 Indirect By The Founders Fund VI Principals Fund, LP
Class A Common Stock 27,418 Indirect By The Founders Fund VI Entrepreneurs Fund, LP
Class A Common Stock 936,909 Indirect By The Founders Fund Growth, LP
Class A Common Stock 60,429 Indirect By The Founders Fund Growth Principals Fund, LP
Footnotes
  1. The Reporting Person has shared voting and investment power over the shares held by each of The Founders Fund Affirm Growth, LLC, The Founders Fund VI, LP, The Founders Fund VI Principals Fund, LP, The Founds Fund VI Entrepreneurs Fund, LP, The Founders Fund Growth, LP and The Founders Fund Growth Principals Fund, LP. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or any other purpose.