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Affirm Holdings, Inc. Regulatory Filings 2021

Sep 17, 2021

30215_rf_2021-09-17_423459ef-9c1d-482e-8b97-07cf63cf20c0.zip

Regulatory Filings

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S-8 1 afrm-sx891421.htm S-8 html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd" Document created using Wdesk Copyright 2021 Workiva Document

As filed with the Securities and Exchange Commission on September 17, 2021

Registration No. 333-

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

_____

FORM S-8

REGISTRATION STATEMENT

UNDER

THE SECURITIES ACT OF 1933

_____

Affirm Holdings, Inc. (Exact name of registrant as specified in its charter)

Delaware 84-2224323
(State or other jurisdiction of Incorporation or organization) (I.R.S. Employer Identification No.)

Affirm Holdings, Inc.

650 California Street

San Francisco, CA 94108

(415) 984-0490

(Address of principal executive offices) (Zip code)

_____

Affirm Holdings, Inc. Amended and Restated 2012 Stock Plan

Affirm Holdings, Inc. 2020 Employee Stock Purchase Plan

(Full titles of the plans)

Max Levchin

Chief Executive Officer

Affirm Holdings, Inc.

650 California Street

San Francisco, CA 94108

(415) 984-0490

(Name and address of agent for service) (Telephone number, including area code, of agent for service)

_____

Copy to:

Katherine Adkins Chief Legal Officer Affirm Holdings, Inc.

650 California Street San Francisco, California 94108 (650) 984-0490

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”, “smaller reporting company” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer Accelerated filer
Non-accelerated filer Smaller reporting company
Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B) of the Securities Act. ☐

CALCULATION OF REGISTRATION FEE

Title of Securities to be Registered Amount to be Registered (1) Proposed Maximum Offering Price per Share Proposed Maximum Aggregate Offering Price Amount of Registration Fee
Class A common stock, par value $0.00001 per share
Affirm Holdings, Inc. Amended and Restated 2012 Stock Plan 13,466,726 (2) $116.03 (3) $1,562,544,217.78 $170,473.57
Affirm Holdings, Inc. 2020 Employee Stock Purchase Plan 2,693,345 (4) $116.03 (3) $ 312,508,820.35 $ 34,094.71
Total 16,160,071 - $1,875,053,038.13 $204,568.29

(1) Pursuant to Rule 416(a) promulgated under the Securities Act of 1933, as amended (the “ Securities Act ”), this Registration Statement shall also cover any additional shares of the registrant’s Class A common stock, $0.00001 par value per share (the “ Class A common stock ”), that become issuable under the plans set forth herein by reason of any stock dividend, stock split, recapitalization, or other similar transaction effected that results in an increase to the number of outstanding shares of Class A common stock, as applicable.

(2) Represents additional shares of Class A common stock available for future issuance under the Affirm Holdings, Inc. Amended and Restated 2012 Stock Plan (the “ 2012 Stock Plan ”) resulting from the automatic annual increase in the number of authorized shares reserved and available for issuance under the 2012 Stock Plan.

(3) Estimated in accordance with Rules 457(c) and 457(h) under the Securities Act solely for the purpose of calculating the registration fee. The offering price per share and the aggregate offering price are based on the average of the high and low sales prices per share of the Class A common stock as reported on The Nasdaq Global Select Market (“ Nasdaq ”) on September 10, 2021 of $116.03 per share.

(4) Represents additional shares of Class A common stock reserved for future issuance under the Affirm Holdings, Inc. 2020 Employee Stock Purchase Plan (the “ 2020 ESPP ”) resulting from the automatic annual increase in the number of authorized shares reserved and available for issuance under the 2020 ESPP.

REGISTRATION OF ADDITIONAL SHARES

PURSUANT TO GENERAL INSTRUCTION E

Pursuant to General Instruction E of Form S-8, Affirm Holdings, Inc. is filing this registration statement on Form S-8 (the “ Registration Statement ”) with the Securities and Exchange Commission (the “ Commission ”) to register 13,466,726 additional shares of Class A common stock under the 2012 Stock Plan and 2,693,345 additional shares of Class A common stock under the 2020 ESPP pursuant to the provisions of such plans providing for an automatic annual increase in the number of shares reserved for issuance under such plans. This Registration Statement hereby incorporates by reference the contents of the registrant’s previous registration statements on Form S-8 filed with the Commission on January 13, 2021 (Registration No. 333-252068) and February 2, 2021 (Registration No. 333-252644). In accordance with the instructional note of Part I of Form S-8 as promulgated by the Commission, the information specified by Part I of Form S-8 has been omitted from this Registration Statement.

PART II

INFORMATION REQUIRED IN THE REGISTRATION STATEMENT

Item 8. Exhibits
Exhibit Number Description
5.1 Opinion of Gibson Dunn & Crutcher LLP
23.1 Consent of Gibson Dunn & Crutcher LLP (included in Exhibit 5.1)
23.2 Consent of Ernst & Young LLP, independent registered public accountants
23.3 Consent of Deloitte & Touche LLP, independent registered public accountants
24.1 Power of Attorney (included on the signature page of this Form S-8)
99.1 (1) Amended and Restated 2012 Stock Plan
99.2 (2) 2020 Employee Stock Purchase Plan

(1) Incorporated by reference to Exhibit 10.7 filed with the registrant’s Form 10-K for the fiscal year ended June 30, 2021, filed with the Commission on September 17, 2021.

(2) Incorporated by reference to Exhibit 10.3 filed with the registrant’s Registration Statement on Form S-1/A (File No. 333-250184), filed with the Commission on November 20, 2020.

SIGNATURES

Pursuant to the requirements of the Securities Act of 1933, as amended, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of San Francisco, State of California, on this 17 th day of September, 2021.

AFFIRM HOLDINGS, INC.
By: /s/ Max Levchin
Max Levchin
Chief Executive Officer

POWER OF ATTORNEY

The undersigned directors and officers of Affirm Holdings, Inc. hereby constitute and appoint Max Levchin, Michael Linford and Katherine Adkins, and each of them, any of whom may act without joinder of the other, the individual’s true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for the person and in his or her name, place and stead, in any and all capacities, to sign this Registration Statement and any or all amendments, including post-effective amendments to the Registration Statement, including any registration statement for the same offering that is to be effective upon filing pursuant to Rule 462 under the Securities Act, and all other documents in connection therewith to be filed with the Securities and Exchange Commission, granting unto said attorneys-in-fact and agents, and each of them, full power and authority to do and perform each and every act and thing requisite and necessary to be done in and about the premises, as fully to all intents and purposes as he or she might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact as agents or any of them, or their substitute or substitutes, may lawfully do or cause to be done by virtue hereof.

Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities indicated on September 17, 2021.

Signature Capacity
/s/ Max Levchin
Max Levchin Chairman of the Board of Directors and Chief Executive Officer (principal executive officer)
/s/ Michael Linford
Michael Linford Chief Financial Officer (principal financial officer)
/s/ Siphelele Jiyane
Siphelele Jiyane VP, Controller (principal accounting officer)
/s/ Jeremy Liew
Jeremy Liew Director
/s/ Libor Michalek
Libor Michalek Director
/s/ Jenny J. Ming
Jenny J. Ming Director
/s/ Jeremy G. Philips
Jeremy G. Philips Director
/s/ Christa S. Quarles
Christa S. Quarles Director
/s/ Keith Rabois
Keith Rabois Director
/s/ Jacqueline D. Reses
Jacqueline D. Reses Director
/s/ James D. White
James D. White Director