Affirm Holdings, Inc. — Director's Dealing 2021

Jul 7, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Affirm Holdings, Inc. (AFRM)
CIK: 0001820953
Period of Report: 2021-07-01

Reporting Person: Adkins Katherine (Chief Legal Officer)

Holdings (Non-Derivative)

Security	Shares	Ownership
Class A Common Stock	3816	Direct

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Restricted Stock Units	$	2027-10-26	Class A Common Stock (32550.0)		Direct
Stock Option (Right to Buy)	$8.8	2029-10-14	Class A Common Stock (128000.0)		Direct
Stock Option (Right to Buy)	$62.52	2031-06-01	Class A Common Stock (26575.0)		Direct
Restricted Stock Units	$		Class A Common Stock (7946.0)		Direct

Footnotes

F1: The restricted stock units vest in 24 equal monthly installments after August 16, 2020, subject to the Reporting Person's continuous service with the Issuer as of each vesting date.

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

F3: The stock option vested as to 25% of the underlying shares on September 14, 2020, and the remainder vests in 36 equal monthly installments thereafter, subject to the Reporting Person's continuous service with the Issuer as of each vesting date.

F4: The stock option vests in 48 equal monthly installments after June 1, 2021, subject to the Reporting Person's continuous service with the Issuer as of each vesting date.

F5: The restricted stock units vest in 48 equal monthly installments after June 1, 2021, subject to the Reporting Person's continuous service with the Issuer as of each vesting date. This grant has no expiration date.