0001628280-22-025995.txt : 20221004 0001628280-22-025995.hdr.sgml : 20221004 20221004180658 ACCESSION NUMBER: 0001628280-22-025995 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221001 FILED AS OF DATE: 20221004 DATE AS OF CHANGE: 20221004 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Linford Michael CENTRAL INDEX KEY: 0001715913 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39888 FILM NUMBER: 221293586 MAIL ADDRESS: STREET 1: 3000 HANOVER STREET CITY: PALO ALTO STATE: CA ZIP: 94304 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Affirm Holdings, Inc. CENTRAL INDEX KEY: 0001820953 STANDARD INDUSTRIAL CLASSIFICATION: PERSONAL CREDIT INSTITUTIONS [6141] 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_166492120255093.xml FORM 4 X0306 4 2022-10-01 0 0001820953 Affirm Holdings, Inc. AFRM 0001715913 Linford Michael C/O AFFIRM HOLDINGS, INC. 650 CALIFORNIA STREET SAN FRANCISCO CA 94108 0 1 0 0 Chief Financial Officer Class A Common Stock 2022-10-01 4 M 0 10077 0 A 76778 D Class A Common Stock 2022-10-01 4 F 0 4426 18.76 D 72352 D Restricted Stock Units 2022-10-01 4 M 0 3334 0 D 2027-12-31 Class A Common Stock 3334.0 10000 D Restricted Stock Units 2022-10-01 4 M 0 4408 0 D Class A Common Stock 4408.0 66123 D Restricted Stock Units 2022-10-01 4 M 0 2335 0 D Class A Common Stock 2335.0 109772 D Represents the number of shares of the Issuer's Common Stock withheld to satisfy the Reporting Person's tax obligation in connection with the settlement of shares of Common Stock underlying the Reporting Person's restricted stock units that vested on October 1, 2022. Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock. The RSUs vest in 24 monthly installments beginning on January 1, 2021, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. The RSUs vest over four and one-half years, commencing as of January 1, 2021, the vesting commencement date. The first 5% of the shares vest on the six-month anniversary of the vesting commencement date, and the remainder of the shares vest in quarterly installments over the remaining four years, in annual aggregate amounts equal to 15%, 20%, 30% and 30%, respectively, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. The RSUs vest in 48 equal monthly installments beginning October 1, 2022, subject to the Reporting Person's continuous service with the Issuer as of each vesting date. This grant has no expiration date. /s/ David Ritenour, Attorney-in-Fact 2022-10-04