Affirm Holdings, Inc. — Director's Dealing 2021

Jan 15, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Affirm Holdings, Inc. (AFRM)
CIK: 0001820953
Period of Report: 2021-01-13

Reporting Person: Eggers Barry (10% Owner)
Reporting Person: Mhatre Ravi (10% Owner)
Reporting Person: Nieh Peter (10% Owner)

Holdings (Non-Derivative)

Security	Shares	Ownership
Class A Common Stock	934988	Indirect
Class A Common Stock	2459558	Indirect
Class A Common Stock	1254623	Indirect
Class A Common Stock	4721064	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B Common Stock	$		Class A Common Stock (934988)		Indirect
Class B Common Stock	$		Class A Common Stock (2459558)		Indirect
Class B Common Stock	$		Class A Common Stock (1254623)		Indirect
Class B Common Stock	$		Class A Common Stock (4721064)		Indirect

Footnotes

F1: Shares held by Lightspeed Venture Partners Select II, L.P. ("Lightspeed Select II"). Lightspeed General Partner Select II, L.P. ("LGP Select II") is the general partner of Lightspeed Select II. Lightspeed Ultimate General Partner Select II, Ltd. ("LUGP Select II") is the general partner of LGP Select II. Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh are the directors of LUGP Select II and share voting and dispositive power with respect to the shares held by Lightspeed Select II. LGP Select II, LUGP Select II and Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed Select II except to the extent of their respective pecuniary interests therein.

F2: Shares held by Lightspeed Venture Partners Select, L.P. ("Lightspeed Select"). Lightspeed General Partner Select, L.P. ("LGP Select") is the general partner of Lightspeed Select. Lightspeed Ultimate General Partner Select, Ltd. ("LUGP Select") is the general partner of LGP Select. Barry Eggers, Jeremy Liew, Ravi Mhatre and Peter Nieh are the directors of LUGP Select and share voting and dispositive power with respect to the shares held by Lightspeed Select. LGP Select, LUGP Select and Messrs. Eggers, Liew, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed Select except to the extent of their respective pecuniary interests therein.

F3: Shares held by Lightspeed Opportunity Fund, L.P. ("Lightspeed Opportunity"). Lightspeed General Partner Opportunity, L.P. ("LGP Opportunity") is the general partner of Lightspeed Opportunity. Lightspeed Ultimate General Partner Opportunity, Ltd. ("LUGP Opportunity") is the general partner of LGP Opportunity. Jeremy Liew, Ravi Mhatre and Arif Janmohamed are the directors of LUGP Opportunity and share voting and dispositive power with respect to the shares held by Lightspeed Opportunity. LGP Opportunity, LUGP Opportunity and Messrs. Liew, Mhatre and Janmohamed disclaim beneficial ownership of the shares held by Lightspeed Opportunity except to the extent of their respective pecuniary interests therein.

F4: Shares held by Lightspeed Venture Partners IX, L.P. ("Lightspeed IX"). Lightspeed General Partner IX, L.P. ("LGP IX") is the general partner of Lightspeed IX. Lightspeed Ultimate General Partner IX, Ltd. ("LUGP IX") is the general partner of LGP IX. Barry Eggers, Ravi Mhatre and Peter Nieh are the directors of LUGP IX and share voting and dispositive power with respect to the shares held by Lightspeed IX. LGP IX, LUGP IX and Messrs. Eggers, Mhatre and Nieh disclaim beneficial ownership of the shares held by Lightspeed IX except to the extent of their respective pecuniary interests therein.

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.