0001820953-21-000008.txt : 20210303
0001820953-21-000008.hdr.sgml : 20210303
20210303203105
ACCESSION NUMBER: 0001820953-21-000008
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210201
FILED AS OF DATE: 20210303
DATE AS OF CHANGE: 20210303
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BHANDARI SANDEEP
CENTRAL INDEX KEY: 0001651479
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 21712044
MAIL ADDRESS:
STREET 1: 71 STEVENSON STREET SUITE 300
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
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_161482140826960.xml
FORM 4
X0306
4
2021-02-01
0
0001820953
Affirm Holdings, Inc.
AFRM
0001651479
BHANDARI SANDEEP
C/O AFFIRM HOLDINGS, INC.
650 CALIFORNIA STREET
SAN FRANCISCO
CA
94108
0
1
0
0
Chief Risk & Strategy Officer
Class A Common Stock
2021-02-01
4
M
0
3333
A
53333
D
Class A Common Stock
2021-02-01
4
F
0
1233
107.61
D
52100
D
Class A Common Stock
2021-03-01
4
M
0
3333
A
55433
D
Class A Common Stock
2021-03-01
4
F
0
1247
91.44
D
54186
D
Restricted Stock Units
2021-02-01
4
M
0
3333
0
D
2027-12-31
Class A Common Stock
3333.0
76667
D
Restricted Stock Units
2021-03-01
4
M
0
3333
0
D
2027-12-31
Class A Common Stock
3333.0
73334
D
Each Restricted Stock Unit represents a contingent right to receive one share of the Issuer's Class A Common Stock.
Restricted stock unit grant started vesting on January 1, 2021, and vests in equal monthly installments for a period of twenty-four months ending January 1, 2023, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
/s/ David Ritenour, Attorney-in-Fact
2021-03-03