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

Source evidence Original filing metadata and source links for verification. 3 source fields
SEC form
4
Accepted by SEC
25 May 2021, 20:18:29 UTC
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
The Founders Fund V, LP, By The Founders Fund Management V LLC, General Partner, By /s/ Brian Singerman, Managing Member

Key filing fact

Founders Fund V, LP filed Form 4 for Affirm Holdings, Inc. (AFRM) on 25 May 2021.

Key facts

  • This page summarizes Founders Fund V, LP's Form 4 filing for Affirm Holdings, Inc. (AFRM).
  • 6 reported transactions and 3 derivative rows are listed below.
  • Accepted by SEC: 25 May 2021, 20:18.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • 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

Other

Transaction value
$0
Shares
-3,994,807
Change %
-100%
Price
$0.000000*
Shares after
0
Date
21 May 2021
Ownership
Direct
Footnotes
F1, F2
AFRM transaction

Class A Common Stock

Other

Transaction value
$0
Shares
-1,074,604
Change %
-100%
Price
$0.000000*
Shares after
0
Date
21 May 2021
Ownership
Direct
Footnotes
F1, F3
AFRM transaction

Class A Common Stock

Other

Transaction value
$0
Shares
-56,539
Change %
-100%
Price
$0.000000*
Shares after
0
Date
21 May 2021
Ownership
Direct
Footnotes
F1, F4

Reported derivative securities

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

AFRM transaction Derivative

Class B Common Stock

Other

Transaction value
$0
Shares
-3,994,807
Change %
-100%
Price
$0.000000*
Shares after
0
Date
21 May 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
3,994,807
Exercise price
Footnotes
F2, F5, F6
AFRM transaction Derivative

Class B Common Stock

Other

Transaction value
$0
Shares
-1,074,604
Change %
-100%
Price
$0.000000*
Shares after
0
Date
21 May 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
1,074,604
Exercise price
Footnotes
F3, F5, F6
AFRM transaction Derivative

Class B Common Stock

Other

Transaction value
$0
Shares
-56,539
Change %
-100%
Price
$0.000000*
Shares after
0
Date
21 May 2021
Ownership
Direct
Underlying class
Class A Common Stock
Underlying amount
56,539
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

Section 16 status

Founders Fund V, LP is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 6 footnotes

Footnote 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.

Footnote F2

Shares held by The Founders Fund V, LP.

Footnote F3

Shares held by The Founders Fund V Principals Fund, LP.

Footnote F4

Shares held by The Founders Fund V Entrepreneurs Fund, LP.

Footnote 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.

Footnote 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.

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