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Filing Details

Accession Number:: 0000899243-21-002203
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-01-15 17:31:09
Reporting Period:: 2021-01-13

Accepted Time:: 2021-01-15 17:31:09
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1820953	Affirm Holdings Inc.	AFRM	()	CA

Insiders

Cik	Name	Reported Address	Director	Officer	Large Shareholder	Other
1032453	Vinod Khosla	2128 Sand Hill Road Menlo Park CA 94025	No	No	Yes	No
1501927	Vk Services, Llc	2128 Sand Hill Road Menlo Park CA 94025	No	No	Yes	No
1521016	Khosla Ventures Iv, L.p.	2128 Sand Hill Road Menlo Park CA 94025	No	No	Yes	No
1685549	Khosla Ventures Associates Iv, Llc	2128 Sand Hill Road Menlo Park CA 94025	No	No	Yes	No
1685550	Khosla Ventures Iv (Cf), L.p.	2128 Sand Hill Road Menlo Park CA 94025	No	No	Yes	No

Reported Non-Derivative Transactions

Show Other Fields >>

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	70,493	$49.00	6,600,963	No	4	P	Indirect	Khosla Ventures IV, L.P
Class A Common Stock	Acquisiton	2021-01-13	4,507	$49.00	422,011	No	4	P	Indirect	Khosla Ventures IV (CF), L.P.

Equity Swap Involved	Form Type	Code	Nature of Ownership	Explanation
No	4	P	Indirect	Khosla Ventures IV, L.P
No	4	P	Indirect	Khosla Ventures IV (CF), L.P.

Footnotes

Consists of securities held of record by Khosla Ventures IV, L.P. ("KV IV"), of which Khosla Ventures Associates IV, LLC ("KVA IV") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the sole manager of KVA IV. Each of KVA IV, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV IV, and each of KVA IV, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV IV. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its respective pecuniary interests therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Consists of securities held of record by Khosla Ventures IV (CF), L.P. ("KV IV (CF)"), of which KVA IV is the general partner. Vinod Khosla is the managing member of VK Services, which is the sole manager of KVA IV. Each of KVA IV, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV IV (CF), and each of KVA IV, VK Services, and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV IV (CF). Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interests therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.