Form Type: 4

SEC EDGAR Link
Accession Number:0001628280-22-016231
Date:2022-06-01
Issuer: AFFIRM HOLDINGS, INC. (AFRM)
Original Submission Date:

Reporting Person:

JIYANE SIPHELELE
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 2022-06-01 M 3,864 a $0.00 76,094 direct
CLASS A COMMON STOCK 2022-06-01 F 1,627 d $24.32 74,467 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
RESTRICTED STOCK UNITS 0.0 2022-06-01 deemed execution date M 167 (d) 2026-08-22 class a common stock 167 $0.00 1,667 direct
RESTRICTED STOCK UNITS 0.0 2022-06-01 deemed execution date M 1,440 (d) 2027-10-26 class a common stock 1,440 $0.00 2,880 direct
RESTRICTED STOCK UNITS 0.0 2022-06-01 deemed execution date M 1,262 (d) 2027-10-26 class a common stock 1,262 $0.00 35,318 direct
RESTRICTED STOCK UNITS 0.0 2022-06-01 deemed execution date M 896 (d) 2027-12-31 class a common stock 896 $0.00 6,271 direct
RESTRICTED STOCK UNITS 0.0 2022-06-01 deemed execution date M 99 (d) 2028-07-14 class a common stock 99 $0.00 3,633 direct
Footnotes
IDfootnote
f1 represents the number of shares of the issuer's common stock withheld to satisfy the reporting person's tax obligation in connection with the settlement of shares of common stock underlying the reporting person's restricted stock units that vested on june 1, 2022.
f2 each restricted stock unit (rsu) represents a contingent right to receive one share of the issuer's class a common stock.
f3 rsus vest with respect to the shares of class a common stock underlying the restricted stock units in equal monthly installments for a period of forty-eight months beginning on april 1, 2019, the vesting commencement date, subject to the reporting person's continued employment with the issuer as of each vesting date.
f4 rsus vest with respect to the shares of class a common stock underlying the rsus in equal monthly installments for a period of twenty-four months beginning on august 1, 2020, the vesting commencement date, subject to the reporting person's continued employment with the issuer as of each vesting date.
f5 rsus vest with respect to the shares of class a common stock underlying the rsus in equal monthly installments for a period of forty-eight months beginning on october 1, 2020, the vesting commencement date, subject to the reporting person's continued employment with the issuer as of each vesting date.
f6 rsus vest with respect to the shares of class a common stock underlying the rsus in monthly installments for a period of twenty-four months beginning on january 1, 2021, the vesting commencement date, subject to the reporting person's continued employment with the issuer as of each vesting date.
f7 rsus vest with respect to the shares of class a common stock underlying the rsus in equal monthly installments for a period of forty-eight months beginning on july 1, 2021, the vesting commencement date, subject to the reporting person's continued employment with the issuer as of each vesting date.
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