Jeremy Philips - Sep 9, 2021 Form 4 Insider Report for Affirm Holdings, Inc. (AFRM)

Role: Director
Signature: /s/ Jeremy Philips
Stock symbol: AFRM
Transactions as of: Sep 9, 2021
Transactions value $: $0
Form type: 4
Date filed: 9/13/2021, 06:17 PM
Previous filing: Jun 10, 2021
Next filing: Nov 16, 2021

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	Price $	Shares After	Date	Ownership	Footnotes
transaction	AFRM	Class A Common Stock	Conversion of derivative security	$0	+40.9 K	+100%	$0.00	81.9 K	Sep 9, 2021	See Footnote	F1
transaction	AFRM	Class A Common Stock	Conversion of derivative security	$0	+4.94 K	+86.72%	$0.00	10.6 K	Sep 9, 2021	See Footnote	F2
transaction	AFRM	Class A Common Stock	Conversion of derivative security	$0	+484 K	+86.71%	$0.00	1.04 M	Sep 9, 2021	See Footnote	F3
transaction	AFRM	Class A Common Stock	Conversion of derivative security	$0	+4.13 M	+100%	$0.00	8.27 M	Sep 9, 2021	See Footnote	F4
transaction	AFRM	Class A Common Stock	Other	$0	-8.27 M	-100%	$0.00	0	Sep 13, 2021	See Footnote	F4, F5
transaction	AFRM	Class A Common Stock	Other	$0	+1.96 M		$0.00	1.96 M	Sep 13, 2021	See Footnote	F6, F7
transaction	AFRM	Class A Common Stock	Other	$0	-81.9 K	-100%	$0.00	0	Sep 13, 2021	See Footnote	F1, F8
transaction	AFRM	Class A Common Stock	Other	$0	+76.4 K	+3.9%	$0.00	2.04 M	Sep 13, 2021	See Footnote	F7, F9
transaction	AFRM	Class A Common Stock	Other	$0	-969 K	-92.88%	$0.00	74.2 K	Sep 13, 2021	See Footnote	F3, F10
transaction	AFRM	Class A Common Stock	Other	$0	+9.69 K		$0.00	9.69 K	Sep 13, 2021	See Footnote	F11, F12
transaction	AFRM	Class A Common Stock	Other	$0	-9.88 K	-92.89%	$0.00	757	Sep 13, 2021	See Footnote	F2, F13

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	AFRM	Class B Common Stock	Conversion of derivative security		-40.9 K	-100%		0	Sep 9, 2021	Class A Common Stock	40.9 K		See Footnote	F1, F14
transaction	AFRM	Class B Common Stock	Conversion of derivative security		-4.94 K	-100%		0	Sep 9, 2021	Class A Common Stock	4.94 K		See Footnote	F2, F14
transaction	AFRM	Class B Common Stock	Conversion of derivative security		-484 K	-100%		0	Sep 9, 2021	Class A Common Stock	484 K		See Footnote	F3, F14
transaction	AFRM	Class B Common Stock	Conversion of derivative security		-4.13 M	-100%		0	Sep 9, 2021	Class A Common Stock	4.13 M		See Footnote	F4, F14

Explanation of Responses:

Id	Content
F1	These shares are held of record by Spark Capital Growth Founders' Fund, L.P. ("Spark Capital Growth FF"). Spark Growth Management Partners, LLC ("SGMP") is the general partner of Spark Capital Growth FF. The Reporting Person is the managing member of SGMP, which makes all voting and investment decisions for the fund 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	These shares are held of record by Spark Capital Growth Founders' Fund III, L.P. ("Spark Capital Growth FF III"). Spark Growth Management Partners III, LLC ("SGMP III") is the general partner of Spark Capital Growth FF III. The Reporting Person is the managing member of SGMP III, which makes all voting and investment decisions for the fund 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.
F3	These shares are held of record by Spark Capital Growth Fund III, L.P. ("Spark Capital Growth III"). SGMP III is the general partner of Spark Capital Growth III. The Reporting Person is the managing member of SGMP III, which makes all voting and investment decisions for the fund 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.
F4	These shares are held of record by Spark Capital Growth Fund, L.P. ("Spark Capital Growth"). SGMP is the general partner of Spark Capital Growth. The Reporting Person is the managing member of SGMP, which makes all voting and investment decisions for the fund 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.
F5	Represents a pro-rata distribution, and not a purchase or sale, without additional consideration by Spark Capital Growth to its general and limited partners.
F6	Represents a change in the form of ownership of SGMP by virtue of the receipt of shares as a result of the pro-rata in-kind distribution of common stock of the Issuer for no consideration by Spark Capital Growth.
F7	These shares are held of record by SGMP. The Reporting Person is the managing member of SGMP, which makes all voting and investment decisions for the fund 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.
F8	Represents a pro-rata distribution, and not a purchase or sale, without additional consideration by Spark Capital Growth FF to its general and limited partners.
F9	Represents a change in the form of ownership of SGMP by virtue of the receipt of shares as a result of the pro-rata in-kind distribution of common stock of the Issuer for no consideration by Spark Capital Growth FF.
F10	Represents a pro-rata distribution, and not a purchase or sale, without additional consideration by Spark Capital Growth III to its general and limited partners.
F11	Represents a change in the form of ownership of SGMP III by virtue of the receipt of shares as a result of the pro-rata in-kind distribution of common stock of the Issuer for no consideration by Spark Capital Growth III.
F12	These shares are held of record by SGMP III. The Reporting Person is the managing member of SGMP III, which makes all voting and investment decisions for the fund 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.
F13	Represents a pro-rata distribution, and not a purchase or sale, without additional consideration by Spark Capital Growth FF III to its limited partners.
F14	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. The Class B Common Stock has no expiration date.