Filing Details

Accession Number:
0001628280-21-021555
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-11-03 18:02:43
Reporting Period:
2021-11-01
Accepted Time:
2021-11-03 18:02:43
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
1832810 Libor Michalek C/O Affirm Holdings, Inc.
650 California Street
San Francisco CA 94108
President, Tech., Risk & Ops Yes 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 Disposition 2021-10-14 350 $0.00 877,754 No 5 G Indirect Michalek 2007 Trust dated March 21, 2007
Class A Common Stock Acquisiton 2021-11-01 34,691 $1.30 113,744 No 4 M Direct
Class A Common Stock Acquisiton 2021-11-02 200,000 $2.04 313,744 No 4 M Direct
Class A Common Stock Disposition 2021-11-01 11,329 $151.53 302,415 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 40,400 $152.27 262,015 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 63,455 $153.35 198,560 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 71,734 $154.17 126,826 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 27,950 $155.03 98,876 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 4,900 $156.53 93,976 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 1,710 $157.36 92,266 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 3,563 $158.88 88,703 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 7,900 $159.54 80,803 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 100 $160.60 80,703 No 4 S Direct
Class A Common Stock Disposition 2021-11-01 1,650 $162.91 79,053 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 5 G Indirect Michalek 2007 Trust dated March 21, 2007
No 4 M 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
No 4 S 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 2021-11-01 34,691 $0.00 34,691 $1.30
Class A Common Stock Stock Option (Right to Buy) Disposition 2021-11-02 200,000 $0.00 200,000 $2.04
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 2020-01-01 2025-05-28 No 4 M Direct
200,000 2027-11-16 No 4 M Direct
Footnotes
  1. The shares are held by the Michalek 2007 Family Trust dated March 21, 2007. The Reporting Person and his spouse are trustees of the trust.
  2. 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.
  3. Represents the weighted average sale price of the shares sold from $150.83 to $151.82 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.
  4. Represents the weighted average sale price of the shares sold from $151.83 to $152.82 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.
  5. Represents the weighted average sale price of the shares sold from $152.83 to $153.82 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.
  6. Represents the weighted average sale price of the shares sold from $153.83 to $154.82 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.
  7. Represents the weighted average sale price of the shares sold from $154.83 to $155.81 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.
  8. Represents the weighted average sale price of the shares sold from $156.00 to $156.99 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.
  9. Represents the weighted average sale price of the shares sold from $157.01 to $157.84 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.
  10. Represents the weighted average sale price of the shares sold from $158.29 to $159.26 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.
  11. Represents the weighted average sale price of the shares sold from $159.31 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.
  12. Represents the weighted average sale price of the shares sold from $162.85 to $163.01 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.
  13. Stock option vests monthly at the rate of 1/48 of the shares of Class A Common Stock underlying the stock option following October 9, 2017, the vesting commencement date, 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.