Founders Fund V, LP - May 21, 2021 Form 4 Insider Report for Affirm Holdings, Inc. (AFRM)

Role: 10%+ Owner
Signature: The Founders Fund V, LP, By The Founders Fund Management V LLC, General Partner, By /s/ Brian Singerman, Managing Member
Stock symbol: AFRM
Transactions as of: May 21, 2021
Transactions value $: $0
Form type: 4
Date filed: 5/25/2021, 08:18 PM

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	AFRM	Class A Common Stock	Other	$0	-3.99M	-100%	$0.00^*	0	May 21, 2021	Direct	F1, F2
transaction	AFRM	Class A Common Stock	Other	$0	-1.07M	-100%	$0.00^*	0	May 21, 2021	Direct	F1, F3
transaction	AFRM	Class A Common Stock	Other	$0	-56.5K	-100%	$0.00^*	0	May 21, 2021	Direct	F1, F4

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	Other	$0	-3.99M	-100%	$0.00^*	0	May 21, 2021	Class A Common Stock	3.99M		Direct	F2, F5, F6
transaction	AFRM	Class B Common Stock	Other	$0	-1.07M	-100%	$0.00^*	0	May 21, 2021	Class A Common Stock	1.07M		Direct	F3, F5, F6
transaction	AFRM	Class B Common Stock	Other	$0	-56.5K	-100%	$0.00^*	0	May 21, 2021	Class A Common Stock	56.5K		Direct	F4, F5, F6

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Founders Fund V, LP is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id	Content
F1	Represents a pro rata distribution of shares of Class A Common Stock, without additional consideration, by the holder to its general partner and limited partners.
F2	Shares held by The Founders Fund V, LP.
F3	Shares held by The Founders Fund V Principals Fund, LP.
F4	Shares held by The Founders Fund V Entrepreneurs Fund, LP.
F5	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 ("Class A Common Stock"). The Class B Common Stock has no expiration date.
F6	Represents a pro rata distribution of shares of Class B Common Stock, without additional consideration, by the holder to its general partner and limited partners.