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Affirm Holdings, Inc. — Director's Dealing 2021
May 26, 2021
30215_dirs_2021-05-25_9a976d9b-030b-4166-a142-4fac6337f8b3.zip
Director's Dealing
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SEC Form 4 — Statement of Changes in Beneficial Ownership
Issuer: Affirm Holdings, Inc. (AFRM)
CIK: 0001820953
Period of Report: 2021-05-21
Reporting Person: Founders Fund V, LP (10% Owner)
Reporting Person: Founders Fund V Entrepreneurs Fund, LP (10% Owner)
Reporting Person: Founders Fund V Principals Fund, LP (10% Owner)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2021-05-21 | Class A Common Stock | J | 3994807 | $0.00 | Disposed | 0 | Direct |
| 2021-05-21 | Class A Common Stock | J | 1074604 | $0.00 | Disposed | 0 | Direct |
| 2021-05-21 | Class A Common Stock | J | 56539 | $0.00 | Disposed | 0 | Direct |
Derivative Transactions
| Date | Security | Exercise Price | Code | Shares | A/D | Expiration | Underlying | Ownership |
|---|---|---|---|---|---|---|---|---|
| 2021-05-21 | Class B Common Stock | $ | J | 3994807 | Disposed | Class A Common Stock (3994807) | Direct | |
| 2021-05-21 | Class B Common Stock | $ | J | 1074604 | Disposed | Class A Common Stock (1074604) | Direct | |
| 2021-05-21 | Class B Common Stock | $ | J | 56539 | Disposed | Class A Common Stock (56539) | Direct |
Footnotes
F1: Represents a pro rata distribution of shares of Class A Common Stock, without additional consideration, by the holder to its general partner and limited partners.
F2: Shares held by The Founders Fund V, LP.
F3: Shares held by The Founders Fund V Principals Fund, LP.
F4: Shares held by The Founders Fund V Entrepreneurs Fund, LP.
F5: 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 ("Class A Common Stock"). The Class B Common Stock has no expiration date.
F6: Represents a pro rata distribution of shares of Class B Common Stock, without additional consideration, by the holder to its general partner and limited partners.