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Filing Details

Accession Number:: 0001628280-21-021563
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-11-03 18:11:14
Reporting Period:: 2021-11-01

Accepted Time:: 2021-11-03 18:11:14
SEC Url:: Form 4 Filing

Issuer

Cik	Name	Symbol	Sector (SIC)	IRS No
1820953	Affirm Holdings Inc.	AFRM	Services-Business Services, Nec (7389)	842224323

Insiders

Cik	Name	Reported Address	Insider Title	Director	Officer	Large Shareholder	Other
1870331	Katherine Adkins	C/O Affirm Holdings, Inc. 650 California Street San Francisco CA 94108	Chief Legal Officer	No	Yes	No	No

Reported Non-Derivative Transactions

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Sec. Name	Acquisiton - Disposition	Date	Amount	Price	Remaning Holdings	Equity Swap Involved	Form Type	Code	Nature of Ownership
Class A Common Stock	Acquisiton	2021-11-01	1,660	$62.52	10,924	No	4	M	Direct
Class A Common Stock	Acquisiton	2021-11-01	2,325	$0.00	13,249	No	4	M	Direct
Class A Common Stock	Acquisiton	2021-11-01	165	$0.00	13,414	No	4	M	Direct
Class A Common Stock	Disposition	2021-11-01	1,128	$152.66	12,286	No	4	F	Direct
Class A Common Stock	Disposition	2021-11-01	1,200	$151.64	11,086	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	3,229	$152.41	7,857	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	901	$153.62	6,956	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	3,700	$154.63	3,256	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	500	$155.15	2,756	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	500	$156.65	2,256	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	594	$159.48	1,662	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	300	$162.93	1,362	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership
No	4	M	Direct
No	4	M	Direct
No	4	M	Direct
No	4	F	Direct
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct
No	4	S	Direct

Reported Derivative Transactions

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Sec. Name	Sec. Type	Acquisiton - Disposition	Date	Amount	Price	Amount - 2	Price - 2
Class A Common Stock	Stock Option (Right to Buy)	Disposition	2021-11-01	1,660	$0.00	1,660	$62.52
Class A Common Stock	Restricted Stock Units	Disposition	2021-11-01	2,325	$0.00	2,325	$0.00
Class A Common Stock	Restricted Stock Units	Disposition	2021-11-01	165	$0.00	165	$0.00

Remaning Holdings	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
24,915	2031-06-01	No	4	M	Direct
20,925	2027-10-26	No	4	M	Direct
7,119		No	4	M	Direct

Footnotes

Represents the number of shares of the Issuer's Common Stock withheld to satisfy the Reporting Person's tax obligation in connection with the settlement of shares of Common Stock underlying the Reporting Person's restricted stock units that vested on November 1, 2021.
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 14, 2021.
Represents the weighted average sale price of the shares sold from $151.03 to $151.98 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $152.06 to $152.95 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $153.10 to $153.99 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $154.13 to $155.11 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $155.13 to $155.17 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $156.15 to $157.09 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $158.99 to $159.93 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $162.91 to $162.96 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
The stock option vests in 48 equal monthly installments after June 1, 2021, subject to the Reporting Person's continuous service with the Issuer as of each vesting date.
Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of the Issuer's Class A Common Stock.
The RSUs vest in 24 equal monthly installments after August 1, 2022, subject to the Reporting Person's continuous service with the Issuer as of each vesting date.
The RSUs vest in 48 equal monthly installments after June 1, 2021, subject to the Reporting Person's continuous service with the Issuer as of each vesting date. This grant has no expiration date.