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