0001628280-21-024522.txt : 20211203
0001628280-21-024522.hdr.sgml : 20211203
20211203170514
ACCESSION NUMBER: 0001628280-21-024522
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211201
FILED AS OF DATE: 20211203
DATE AS OF CHANGE: 20211203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rabois Keith
CENTRAL INDEX KEY: 0001539865
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 211470950
MAIL ADDRESS:
STREET 1: C/O YELP! INC.
STREET 2: 706 MISSION ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
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
wf-form4_163856909072231.xml
FORM 4
X0306
4
2021-12-01
0
0001820953
Affirm Holdings, Inc.
AFRM
0001539865
Rabois Keith
ONE LETTERMAN DRIVE
BUILDING D, 5TH FLOOR
SAN FRANCISCO
CA
94129
1
0
0
0
Class A Common Stock
2021-12-01
4
S
0
400
115.5675
D
60977
D
Class A Common Stock
2021-12-01
4
S
0
2633
116.7969
D
58344
D
Class A Common Stock
2021-12-01
4
S
0
1375
117.7653
D
56969
D
Class A Common Stock
2021-12-01
4
S
0
200
118.85
D
56769
D
Class A Common Stock
2021-12-01
4
S
0
400
120.005
D
56369
D
Class A Common Stock
2021-12-01
4
S
0
1600
121.2554
D
54769
D
Class A Common Stock
2021-12-01
4
S
0
2300
122.2496
D
52469
D
Class A Common Stock
2021-12-01
4
S
0
500
124.232
D
51969
D
Class A Common Stock
2021-12-01
4
S
0
1900
125.3016
D
50069
D
Class A Common Stock
2021-12-01
4
S
0
1030
126.3681
D
49039
D
Class A Common Stock
2021-12-01
4
S
0
1414
127.5532
D
47625
D
Class A Common Stock
2021-12-01
4
S
0
700
128.5229
D
46925
D
Class A Common Stock
2021-12-01
4
S
0
1299
129.6713
D
45626
D
Class A Common Stock
2021-12-01
4
S
0
2453
130.5512
D
43173
D
Class A Common Stock
2021-12-01
4
S
0
500
131.356
D
42673
D
Class A Common Stock
75000
I
By FF Affirm Growth, LLC
Class A Common Stock
1486909
I
By The Founders Fund Growth, LP
Class A Common Stock
60429
I
By The Founders Fund Growth Principals Fund, LP
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 16, 2021.
Represents the weighted average sale price of the shares sold from $115.22 to $115.93 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $116.35 to $117.19 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $117.35 to $118.15 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $118.40 to $119.30 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $119.58 to $120.45 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $120.85 to $121.81 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $121.85 to $122.70 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $123.81 to $124.77 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $124.91 to $125.88 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $126.00 to $126.98 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $127.08 to $128.04 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $128.11 to $129.06 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $129.12 to $130.10 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $130.12 to $131.07 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $131.25 to $131.61 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
The Reporting Person has shared voting and investment power over the shares held by each of The Founders Fund VI, LP, The Founders Fund VI Principals Fund, LP, The Founders Fund VI Entrepreneurs Fund, LP, The Founders Fund Growth, LP, The Founders Fund Growth Principals Fund, LP and FF Affirm Growth, LLC. 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 any other purpose.
/s/ David Ritenour, Attorney-in-Fact
2021-12-03