0001209191-21-003764.txt : 20210115
0001209191-21-003764.hdr.sgml : 20210115
20210115161915
ACCESSION NUMBER: 0001209191-21-003764
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210113
FILED AS OF DATE: 20210115
DATE AS OF CHANGE: 20210115
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Philips Jeremy
CENTRAL INDEX KEY: 0001536014
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 21532324
MAIL ADDRESS:
STREET 1: C/O TRIPADVISOR, INC.
STREET 2: 141 NEEDHAM STREET
CITY: NEWTON
STATE: MA
ZIP: 02464
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Affirm Holdings, Inc.
CENTRAL INDEX KEY: 0001820953
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 842224323
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
BUSINESS ADDRESS:
STREET 1: 650 CALIFORNIA STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
BUSINESS PHONE: (415) 722-8633
MAIL ADDRESS:
STREET 1: 650 CALIFORNIA STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-13
0
0001820953
Affirm Holdings, Inc.
AFRM
0001536014
Philips Jeremy
137 NEWBURY STREET, 8TH FLOOR
BOSTON
MA
02116
1
0
0
0
Class A Common Stock
2021-01-13
4
P
0
74243
49.00
A
558604
I
By Spark Capital Growth Fund III, L.P.
Class A Common Stock
2021-01-13
4
P
0
757
49.00
A
5699
I
By Spark Capital Growth Founders' Fund III, L.P.
Class A Common Stock
4134392
I
By Spark Capital Growth Fund, L.P.
Class A Common Stock
40925
I
By Spark Capital Growth Founders' Fund, L.P.
The Reporting Person is the managing member of the general partner of Spark Capital Growth Fund, L.P., Spark Capital Growth Founders' Fund, L.P., Spark Capital Growth Fund III, L.P. and Spark Capital Growth Founders' Fund III, L.P., which makes all voting and investment decisions for these funds 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.
/s/ Sharda Caro del Castillo as attorney-in-fact
2021-01-15