0001628280-24-026836.txt : 20240605 0001628280-24-026836.hdr.sgml : 20240605 20240605161412 ACCESSION NUMBER: 0001628280-24-026836 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240603 FILED AS OF DATE: 20240605 DATE AS OF CHANGE: 20240605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rabois Keith CENTRAL INDEX KEY: 0001539865 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39888 FILM NUMBER: 241022158 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: PERSONAL CREDIT INSTITUTIONS [6141] ORGANIZATION NAME: 02 Finance 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) 960-1518 MAIL ADDRESS: STREET 1: 650 CALIFORNIA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94108 4 1 wk-form4_1717618445.xml FORM 4 X0508 4 2024-06-03 0 0001820953 Affirm Holdings, Inc. AFRM 0001539865 Rabois Keith ONE LETTERMAN DRIVE BUILDING D, 5TH FLOOR SAN FRANCISCO CA 94129 1 0 0 0 1 Class A Common Stock 2024-06-03 4 S 0 9176 28.8164 D 82999 D Class A Common Stock 2024-06-03 4 S 0 100 29.80 D 82899 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 14, 2023. Represents the weighted average sale price of the shares sold from $28.57 to $29.51 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 receipt of 32,175 shares of Class A Common Stock pursuant to pro rata distributions effected by Khosla Ventures to its members, including the Reporting Person, for no additional consideration. /s/ Josh Samples, Attorney-in-Fact 2024-06-05