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

Role
Director
Signature
/s/ Keith Rabois
Stock symbol
AFRM
Transactions as of
May 21, 2021
Transactions value $
$0
Form type
4
Date filed
5/25/2021, 08:25 PM
Next filing
Nov 3, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction AFRM Class A Common Stock Other $0 -2.21M -100% $0.00* 0 May 21, 2021 By The Founders Fund VI, LP F1, F2
transaction AFRM Class A Common Stock Other $0 -545K -100% $0.00* 0 May 21, 2021 By The Founders Fund VI Principals Fund, LP F1, F2
transaction AFRM Class A Common Stock Other $0 -27.4K -100% $0.00* 0 May 21, 2021 By The Founders Fund VI Entrepreneurs Fund, LP F1, F2
transaction AFRM Class A Common Stock Other $0 +24K $0.00 24K May 21, 2021 Direct F3
holding AFRM Class A Common Stock 1.49M May 21, 2021 By The Founders Fund Growth, LP F2
holding AFRM Class A Common Stock 60.4K May 21, 2021 By The Founders Fund Growth Principals Fund, LP F2
holding AFRM Class A Common Stock 75K May 21, 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 -2.21M -100% $0.00* 0 May 21, 2021 Class A Common Stock 2.21M By The Founders Fund VI, LP F2, F4, F5
transaction AFRM Class B Common Stock Other $0 -545K -100% $0.00* 0 May 21, 2021 Class A Common Stock 545K By The Founders Fund VI Principals Fund, LP F2, F4, F5
transaction AFRM Class B Common Stock Other $0 -27.4K -100% $0.00* 0 May 21, 2021 Class A Common Stock 27.4K By The Founders Fund VI Entrepreneurs Fund, LP F2, F4, F5
holding AFRM Class B Common Stock 387K May 21, 2021 Class A Common Stock 387K By The Founders Fund Growth, LP F2, F4
holding AFRM Class B Common Stock 60.4K May 21, 2021 Class A Common Stock 60.4K 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.