Filing Details

Accession Number:
0001628280-21-022616
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-11-09 18:01:18
Reporting Period:
2021-11-08
Accepted Time:
2021-11-09 18:01:18
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
1832806 Siphelele Jiyane C/O Affirm Holdings, Inc.
650 California Street
San Francisco CA 94108
Vice President, Controller No Yes 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 2021-11-08 4,106 $2.04 6,974 No 4 M Direct
Class A Common Stock Disposition 2021-11-08 4,106 $175.00 2,868 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Direct
No 4 S Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Class A Common Stock Stock Option (Right to Buy) Disposition 2021-11-08 4,106 $0.00 4,106 $2.04
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2027-05-29 No 4 M Direct
Footnotes
  1. The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 15, 2021.
  2. Stock option vests with respect to 1/24 of the shares of the Issuer's Class A common stock, par value $0.00001 per share ("Class A Common Stock"), underlying the stock option on the one-year anniversary of July 5, 2016, the vesting commencement date of the Reporting Person's first stock option award from the Issuer, and the remaining shares underlying the option vest in equal monthly installments thereafter, in each case subject to continued service with the Issuer. The Reporting Person can elect to exercise the stock option at any time, provided that the shares acquired upon exercise remain subject to the applicable vesting schedule.