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