Form Type: 4

SEC EDGAR Link
Accession Number:0001820953-21-000021
Date:2021-03-03
Issuer: AFFIRM HOLDINGS, INC. (AFRM)
Original Submission Date:

Reporting Person:

MARTINCEVIC SILVIJA
C/O AFFIRM HOLDINGS, INC.
650 CALIFORNIA STREET SAN FRANCISCO, CA 94108

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
CLASS A COMMON STOCK 2021-03-03 M 34,899 a $8.80 39,085 direct
CLASS A COMMON STOCK 2021-03-03 S 36,999 d $91.28 2,086 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
STOCK OPTION (RIGHT TO BUY) 8.8 2021-03-03 deemed execution date M 34,899 (d) 2029-06-05 class a common stock 34,899 $8.80 765,101 direct
Footnotes
IDfootnote
f1 represents the weighted average sale price of the shares sold from $91.00 to $91.65 per share. the reporting person will provide, upon request by the commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
f2 stock options vest with respect to 1/4 of the shares of the issuer's class a common stock, par value $0.00001 per share ("class a common stock"), underlying the stock option on the one-year anniversary of april 29, 2019, the vesting commencement date, and the remaining 3/4 of the shares underlying the option vest in equal monthly installments over the subsequent three years, in each case subject to continued service with the issuer. the reporting person can elect to exercise the stock options at any time, provided that the shares acquired upon exercise remain subject to the applicable vesting schedule.

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