Keith Rabois - 21 May 2021 Form 4 Insider Report for Affirm Holdings, Inc. (AFRM)

Role
Director
Signature
/s/ Keith Rabois
Issuer symbol
AFRM
Transactions as of
21 May 2021
Net transactions value
$0
Form type
4
Filing time
25 May 2021, 20:25:44 UTC
Next filing
03 Nov 2021
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction AFRM Class A Common Stock Other $0 -2,205,293 -100% $0.000000* 0 21 May 2021 By The Founders Fund VI, LP F1, F2
transaction AFRM Class A Common Stock Other $0 -545,294 -100% $0.000000* 0 21 May 2021 By The Founders Fund VI Principals Fund, LP F1, F2
transaction AFRM Class A Common Stock Other $0 -27,418 -100% $0.000000* 0 21 May 2021 By The Founders Fund VI Entrepreneurs Fund, LP F1, F2
transaction AFRM Class A Common Stock Other $0 +23,969 $0.000000 23,969 21 May 2021 Direct F3
holding AFRM Class A Common Stock 1,486,909 21 May 2021 By The Founders Fund Growth, LP F2
holding AFRM Class A Common Stock 60,429 21 May 2021 By The Founders Fund Growth Principals Fund, LP F2
holding AFRM Class A Common Stock 75,000 21 May 2021 By FF Affirm Growth, LLC F2

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 -2,205,293 -100% $0.000000* 0 21 May 2021 Class A Common Stock 2,205,293 By The Founders Fund VI, LP F2, F4, F5
transaction AFRM Class B Common Stock Other $0 -545,294 -100% $0.000000* 0 21 May 2021 Class A Common Stock 545,294 By The Founders Fund VI Principals Fund, LP F2, F4, F5
transaction AFRM Class B Common Stock Other $0 -27,418 -100% $0.000000* 0 21 May 2021 Class A Common Stock 27,418 By The Founders Fund VI Entrepreneurs Fund, LP F2, F4, F5
holding AFRM Class B Common Stock 386,909 21 May 2021 Class A Common Stock 386,909 By The Founders Fund Growth, LP F2, F4
holding AFRM Class B Common Stock 60,429 21 May 2021 Class A Common Stock 60,429 By The Founders Fund Growth Principals Fund, LP F2, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents a pro rata distribution of shares of Class A common stock, par value $0.00001 per share ("Class A Common Stock") without additional consideration, by the holder to its general partner and limited partners. The Reporting Person did not receive any shares in this distribution.
F2 The Reporting Person has shared voting and investment power over the shares held by each of The Founders Fund VI, LP, The Founders Fund VI Principals Fund, LP, The Founders Fund VI Entrepreneurs Fund, LP, The Founders Fund Growth, LP, The Founders Fund Growth Principals Fund, LP and FF Affirm Growth, LLC. 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 any other purpose.
F3 Represents the receipt of shares of Class A Common Stock pursuant to a pro rata distribution effected by TFF V Employees LLC to its members, including the Reporting Person, for no additional consideration.
F4 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. The Class B Common Stock has no expiration date.
F5 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. The Reporting Person did not receive any shares in this distribution.