Siphelele Jiyane - 01 Jul 2021 Form 4 Insider Report for Affirm Holdings, Inc. (AFRM)

Role
Vice President, Controller
Signature
/s/ David Ritenour, Attorney-in-Fact
Issuer symbol
AFRM
Transactions as of
01 Jul 2021
Net transactions value
-$118,007
Form type
4
Filing time
06 Jul 2021, 21:20:10 UTC
Previous filing
05 Oct 2021
Next filing
03 Aug 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 Options Exercise +3,764 +31% 15,981 01 Jul 2021 Direct F1
transaction AFRM Class A Common Stock Tax liability $118,007 -1,726 -11% $68.37 14,255 01 Jul 2021 Direct 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 Restricted Stock Units Options Exercise $0 -167 -4.6% $0.000000 3,500 01 Jul 2021 Class A Common Stock 167 Direct F1, F3
transaction AFRM Restricted Stock Units Options Exercise $0 -1,440 -7.1% $0.000000 18,720 01 Jul 2021 Class A Common Stock 1,440 Direct F1, F4
transaction AFRM Restricted Stock Units Options Exercise $0 -1,261 -2.5% $0.000000 49,193 01 Jul 2021 Class A Common Stock 1,261 Direct F1, F5
transaction AFRM Restricted Stock Units Options Exercise $0 -896 -5.3% $0.000000 16,125 01 Jul 2021 Class A Common Stock 896 Direct F1, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each restricted stock unit represents a contingent right to receive one share of the Issuer's Class A Common Stock.
F2 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 Class A Common Stock underlying the Reporting Person's restricted stock units that vested on July 1, 2021.
F3 Restricted stock units 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 Restricted stock units vest with respect to the shares of Class A Common Stock underlying the restricted stock units 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 Restricted stock units 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 October 1, 2020, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
F6 Restricted stock units vest with respect to the shares of Class A Common Stock underlying the restricted stock units 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.