Affirm Holdings, Inc. — Director's Dealing 2021

Jan 14, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

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

Reporting Person: Philips Jeremy (Director)

Holdings (Non-Derivative)

Security	Shares	Ownership
Class A Common Stock	40925	Indirect
Class A Common Stock	4942	Indirect
Class A Common Stock	484361	Indirect
Class A Common Stock	4134392	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B Common Stock	$		Class A Common Stock (40925)		Indirect
Class B Common Stock	$		Class A Common Stock (4942)		Indirect
Class B Common Stock	$		Class A Common Stock (484361)		Indirect
Class B Common Stock	$		Class A Common Stock (4134392)		Indirect
Restricted Stock Units	$	2028-01-12	Class A Common Stock (4081)		Direct

Footnotes

F1: The Reporting Person is the managing member of the general partner of Spark Capital Growth Fund, L.P., Spark Capital Growth Founders' Fund, L.P., Spark Capital Growth Fund III, L.P. and Spark Capital Growth Founders' Fund III, L.P., which makes all voting and investment decisions for these funds through its investment committee, of which the Reporting Person is also a member. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or for any other purpose.

F2: 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.

F3: Restricted stock units vest in full upon the earlier of November 18, 2021 or the date of the Issuer's next annual meeting of stockholders, subject to continued service by the Reporting Person as a non-employee director until such earlier date.