Form Type: 4

SEC EDGAR Link
Accession Number:0001820953-21-000022
Date:2021-03-03
Issuer: AFFIRM HOLDINGS, INC. (AFRM)
Original Submission Date:

Reporting Person:

MICHALEK LIBOR
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 263,386 a $1.30 1,138,651 direct
CLASS A COMMON STOCK 2021-03-03 S 206,791 d $89.50 931,860 direct
CLASS A COMMON STOCK 2021-03-03 S 56,595 d $91.29 875,265 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) 1.3 2021-03-03 deemed execution date M 263,386 (d) 2020-01-01 2025-05-28 class a common stock 263,386 $1.30 34,691 direct
Footnotes
IDfootnote
f1 represents the weighted average sale price of the shares sold from $89.09 to $90.05 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 represents the weighted average sale price of the shares sold from $91.07 to $91.57 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.

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