Jeremy Philips - 18 Nov 2021 Form 4 Insider Report for Affirm Holdings, Inc. (AFRM)

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
22 Nov 2021, 16:12:49 UTC
Prior SEC filing
16 Nov 2021
Next SEC filing
23 Nov 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ David Ritenour, Attorney-in-Fact

Key filing fact

Jeremy Philips filed Form 4 for Affirm Holdings, Inc. (AFRM) on 22 Nov 2021.

Key facts

  • This page summarizes Jeremy Philips's Form 4 filing for Affirm Holdings, Inc. (AFRM).
  • 2 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 22 Nov 2021, 16:12.

Change

  • Previous filing in this sequence was filed on 16 Nov 2021.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

AFRM transaction

Class A Common Stock

Options Exercise

Transaction value
$0
Shares
+4,082
Change %
+0.54%
Price
$0.000000
Shares after
757,808
Date
18 Nov 2021
Ownership
Direct
AFRM holding

Class A Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
757
Date
18 Nov 2021
Ownership
See Footnote
Footnotes
F1
AFRM holding

Class A Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
74,243
Date
18 Nov 2021
Ownership
See Footnote
Footnotes
F2
AFRM holding

Class A Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
12,572
Date
18 Nov 2021
Ownership
See Footnote
Footnotes
F3

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

AFRM transaction Derivative

Restricted Stock Units

Options Exercise

Transaction value
$0
Shares
-4,082
Change %
-100%
Price
$0.000000*
Shares after
0
Date
18 Nov 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
4,082
Exercise price
Footnotes
F4, F5, F6
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 6 footnotes

Footnote F1

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.

Footnote F2

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.

Footnote F3

The shares are held by Spark Capital Parters, LLC ("SCP"). The Reporting Person is a managing member of SCP and may be deemed to share investment, voting and dispositive power over these shares. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, if any, 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.

Footnote F4

Each Restricted Stock Unit represents a contingent right to receive one share of the Issuer's Class A Common Stock.

Footnote F5

The number of RSUs owned has been increased by one due to a rounding error on the Reporting Person's Form 3 filed on January 13, 2021.

Footnote F6

Restricted stock units vest in full upon the earlier of November 18, 2021 or the date of the Issuer's next annual meeting of stockholders, subject to continued service by the Reporting Person as a non-employee director until such earlier date.

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