Filing Details

Accession Number:
0000899243-21-044838
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-11-16 16:49:46
Reporting Period:
2021-11-12
Accepted Time:
2021-11-16 16:49:46
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1820953 Affirm Holdings Inc. AFRM () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1536014 Jeremy Philips 137 Newbury Street, 8Th Floor
Boston MA 02116
Yes No 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 2021-11-12 2,035,521 $0.00 0 No 4 J Indirect See Footnote
Class A Common Stock Acquisiton 2021-11-12 762,389 $0.00 762,389 No 4 J Direct
Class A Common Stock Acquisiton 2021-11-12 12,572 $0.00 12,572 No 4 J Indirect See Footnote
Class A Common Stock Disposition 2021-11-12 9,687 $0.00 0 No 4 J Indirect See Footnote
Class A Common Stock Acquisiton 2021-11-12 2,305 $0.00 764,694 No 4 J Direct
Class A Common Stock Disposition 2021-11-15 10,868 $150.00 753,826 No 4 S Direct
Class A Common Stock Disposition 2021-11-15 100 $150.01 753,726 No 4 S Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 J Indirect See Footnote
No 4 J Direct
No 4 J Indirect See Footnote
No 4 J Indirect See Footnote
No 4 J Direct
No 4 S Direct
No 4 S Direct
Reported Non-Derivative Holdings
Sec. Name Remaning Holdings Nature of Ownership Explanation
Class A Common Stock 74,243 Indirect See Footnote
Class A Common Stock 757 Indirect See Footnote
Footnotes
  1. Represents a pro-rata distribution, and not a purchase or sale, without additional consideration by Spark Growth Management Partners, LLC ("SGMP") to its members.
  2. These shares are held of record by SGMP. The Reporting Person is a managing member of SGMP and may be deemed to share investment, voting and dispositive power over these shares. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
  3. Represents a pro-rata distribution, and not a purchase or sale, without additional consideration by Spark Growth Management Partners III, LLC ("SGMP III") to its members.
  4. These shares are held of record by SGMP III. The Reporting Person is a managing member of SGMP III and may be deemed to share investment, voting and dispositive power over these shares. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
  5. Represents a change in the form of ownership of the Reporting Person by virtue of receipt of shares as a result of the pro-rata in-kind distribution of Class A Common Stock of the Issuer for no consideration by SGMP.
  6. Represents a change in the form of ownership of the Reporting Person by virtue of receipt of shares as a result of the pro-rata in-kind distribution of Class A Common Stock of the Issuer for no consideration by SGMP III.
  7. These shares are held of record by Spark Capital Growth Fund III, L.P. ("Spark Growth III"). SGMP III is the general partner of Spark Growth III. The Reporting Person is a managing member of SGMP III and may be deemed to share investment, voting and dispositive power over these shares. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
  8. These shares are held of record by Spark Capital Growth Founders' Fund III, L.P. ("Spark Growth FF III"). SGMP III is the general partner of Spark Growth FF III. The Reporting Person is a managing member of SGMP III and may be deemed to share investment, voting and dispositive power over these shares. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.
  9. Represents a change in the form of ownership of Spark Capital Partners, LLC ("SCP") by virtue of the receipt of shares in the pro-rata in-kind distribution of Class A Common Stock of the Issuer for no consideration by SGMP.
  10. The shares are held by SCP. The Reporting Person is a managing member of SCP and may be deemed to share investment, voting and dispositive power over these shares. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, if any, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.