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Filing Details

Accession Number:: 0001628280-21-021554
Form Type:: 4
Zero Holdings:: No
Publication Time:: 2021-11-03 18:01:36
Reporting Period:: 2021-11-01

Accepted Time:: 2021-11-03 18:01:36
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

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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	3,860	$0.00	29,552	No	4	M	Direct
Class A Common Stock	Disposition	2021-11-01	1,684	$152.66	27,868	No	4	F	Direct
Class A Common Stock	Acquisiton	2021-11-01	7,894	$2.04	35,762	No	4	M	Direct
Class A Common Stock	Disposition	2021-11-01	1,900	$151.57	33,862	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	4,016	$152.41	29,846	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	17,394	$153.57	12,452	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	4,900	$154.55	7,552	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	1,603	$155.17	5,949	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	1,000	$156.55	4,949	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	1,300	$159.27	3,649	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	300	$159.87	3,349	No	4	S	Direct
Class A Common Stock	Disposition	2021-11-01	481	$162.93	2,868	No	4	S	Direct

Equity Swap Involved	Form Type	Code	Nature of Ownership
No	4	M	Direct
No	4	F	Direct
No	4	M	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
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	Restricted Stock Units	Disposition	2021-11-01	166	$0.00	166	$0.00
Class A Common Stock	Restricted Stock Units	Disposition	2021-11-01	1,440	$0.00	1,440	$0.00
Class A Common Stock	Restricted Stock Units	Disposition	2021-11-01	1,260	$0.00	1,260	$0.00
Class A Common Stock	Restricted Stock Units	Disposition	2021-11-01	896	$0.00	896	$0.00
Class A Common Stock	Restricted Stock Units	Disposition	2021-11-01	98	$0.00	98	$0.00
Class A Common Stock	Stock Option (Right to Buy)	Disposition	2021-11-01	7,894	$0.00	7,894	$2.04

Remaning Holdings	Expiration Date	Equity Swap Involved	Transaction Form Type	Transaction Code	Nature of Ownership
2,834	2026-08-22	No	4	M	Direct
12,960	2027-10-26	No	4	M	Direct
44,148	2027-10-26	No	4	M	Direct
12,542	2027-12-31	No	4	M	Direct
4,321	2028-07-14	No	4	M	Direct
4,106	2027-05-29	No	4	M	Direct

Footnotes

Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of the Issuer's Class A Common Stock.
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 15, 2021.
Represents the weighted average sale price of the shares sold from $150.97 to $151.96 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.
Represents the weighted average sale price of the shares sold from $152.03 to $152.97 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 $153.05 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 $154.05 to $155.03 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 $155.05 to $155.38 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 $156.12 to $157.01 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 $158.64 to $159.56 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 $159.73 to $159.94 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.
Restricted stock units vest with respect to the shares of Class A Common Stock underlying the restricted stock units in equal monthly installments for a period of forty-eight months beginning on April 1, 2019, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in equal monthly installments for a period of twenty-four months beginning on August 1, 2020, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in equal monthly installments for a period of forty-eight months beginning on October 1, 2020, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in monthly installments for a period of twenty-four months beginning on January 1, 2021, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in equal monthly installments for a period of forty-eight months beginning on July 1, 2021, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
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.