Affirm Holdings, Inc. — Director's Dealing 2021

Mar 4, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Affirm Holdings, Inc. (AFRM)
CIK: 0001820953
Period of Report: 2021-03-02

Reporting Person: Khosla Ventures IV, L.P. (10% Owner)
Reporting Person: Khosla Ventures IV (CF), L.P. (10% Owner)
Reporting Person: Khosla Ventures Associates IV, LLC (10% Owner)
Reporting Person: VK Services, LLC (10% Owner)
Reporting Person: KHOSLA VINOD (10% Owner)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-03-02	Class A Common Stock	J	1306094	$0.00	Disposed	5294869	Indirect
2021-03-02	Class A Common Stock	J	83500	$0.00	Disposed	338511	Indirect

Footnotes

F1: On March 2, 2021, 1,306,094 shares of Class A Common Stock held by Khosla Ventures IV, LP ("KV IV") were distributed to the limited partners and general partners of KV IV in a pro rata distribution for no consideration. Of such distributed shares, 490,470 shares of Class A Common Stock were received by Khosla Ventures Associates IV, LLC ("KVA IV").

F2: Consists of securities held of record by KV IV, of which KVA IV is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA IV. Each of KVA IV, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV IV, and each of KVA IV, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV IV. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

F3: On March 2, 2021, 83,500 shares of Class A Common Stock held by Khosla Ventures IV (CF), L.P. ("KV IV (CF)"), were distributed to the limited partners and general partners of KV IV (CF) in a pro rata distribution for no consideration. Of such distributed shares, 25,138 shares of Class A Common Stock were received by KVA IV.

F4: Consists of securities held of record by KV IV (CF), of which KVA IV is the general partner. Vinod Khosla is the managing member of VK Services, which is the manager of KVA IV. Each of KVA IV, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV IV (CF), and each of KVA IV, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV IV (CF). Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.