Affirm Holdings, Inc. — Director's Dealing 2021

Nov 3, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Affirm Holdings, Inc. (AFRM)
CIK: 0001820953
Period of Report: 2021-11-01

Reporting Person: Jiyane Siphelele (Vice President, Controller)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-11-01	Class A Common Stock	M	3860	—	Acquired	29552	Direct
2021-11-01	Class A Common Stock	F	1684	$152.66	Disposed	27868	Direct
2021-11-01	Class A Common Stock	M	7894	$2.04	Acquired	35762	Direct
2021-11-01	Class A Common Stock	S	1900	$151.5742	Disposed	33862	Direct
2021-11-01	Class A Common Stock	S	4016	$152.4079	Disposed	29846	Direct
2021-11-01	Class A Common Stock	S	17394	$153.5668	Disposed	12452	Direct
2021-11-01	Class A Common Stock	S	4900	$154.5478	Disposed	7552	Direct
2021-11-01	Class A Common Stock	S	1603	$155.1718	Disposed	5949	Direct
2021-11-01	Class A Common Stock	S	1000	$156.552	Disposed	4949	Direct
2021-11-01	Class A Common Stock	S	1300	$159.2685	Disposed	3649	Direct
2021-11-01	Class A Common Stock	S	300	$159.8667	Disposed	3349	Direct
2021-11-01	Class A Common Stock	S	481	$162.9308	Disposed	2868	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-11-01	Restricted Stock Units	$	M	166	Disposed	2026-08-22	Class A Common Stock (166.0)	Direct
2021-11-01	Restricted Stock Units	$	M	1440	Disposed	2027-10-26	Class A Common Stock (1440.0)	Direct
2021-11-01	Restricted Stock Units	$	M	1260	Disposed	2027-10-26	Class A Common Stock (1260.0)	Direct
2021-11-01	Restricted Stock Units	$	M	896	Disposed	2027-12-31	Class A Common Stock (896.0)	Direct
2021-11-01	Restricted Stock Units	$	M	98	Disposed	2028-07-14	Class A Common Stock (98.0)	Direct
2021-11-01	Stock Option (Right to Buy)	$2.04	M	7894	Disposed	2027-05-29	Class A Common Stock (7894.0)	Direct

Footnotes

F1: Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of the Issuer's Class A Common Stock.

F2: 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.

F3: 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.

F4: 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.

F5: 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.

F6: 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.

F7: 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.

F8: 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.

F9: 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.

F10: 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.

F11: 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.

F12: 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.

F13: 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.

F14: 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.

F15: 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.

F16: 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.

F17: 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.

F18: 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.