Affirm Holdings, Inc. — Director's Dealing 2021

Oct 6, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Affirm Holdings, Inc. (AFRM)
CIK: 0001820953
Period of Report: 2021-06-09

Reporting Person: Jiyane Siphelele (Vice President, Controller)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-06-09	Class A Common Stock	C	5000	—	Acquired	23527	Direct
2021-10-01	Class A Common Stock	M	3864	—	Acquired	27391	Direct
2021-10-01	Class A Common Stock	F	1699	$117.85	Disposed	25692	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-06-09	Class B Common Stock	$	C	5000	Disposed		Class A Common Stock (5000.0)	Direct
2021-10-01	Restricted Stock Units	$	M	167	Disposed	2026-08-22	Class A Common Stock (167.0)	Direct
2021-10-01	Restricted Stock Units	$	M	1440	Disposed	2027-10-26	Class A Common Stock (1440.0)	Direct
2021-10-01	Restricted Stock Units	$	M	1263	Disposed	2027-10-26	Class A Common Stock (1263.0)	Direct
2021-10-01	Restricted Stock Units	$	M	896	Disposed	2027-12-31	Class A Common Stock (896.0)	Direct
2021-10-01	Restricted Stock Units	$	M	98	Disposed	2028-07-14	Class A Common Stock (98.0)	Direct

Footnotes

F1: Each share of the Issuer's Class B common stock, par value $0.00001 per share ("Class B Common Stock"), is convertible at any time into one share of the Issuer's Class A common stock, par value $0.00001 per share. The Class B Common Stock has no expiration date.

F2: Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock.

F3: 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 RSUs that vested on October 1, 2021.

F4: 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 April 1, 2019, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.

F5: 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.

F6: 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.

F7: 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.

F8: 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.

F9: The total number of RSUs has been adjusted to correct for a prior administrative error with respect to the number of RSUs reported to be held by the Reporting Person.