0001820953-21-000010.txt : 20210303 0001820953-21-000010.hdr.sgml : 20210303 20210303203225 ACCESSION NUMBER: 0001820953-21-000010 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: Caro del Castillo Sharda CENTRAL INDEX KEY: 0001832802 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39888 FILM NUMBER: 21712050 MAIL ADDRESS: STREET 1: C/O AFFIRM HOLDINGS, INC. STREET 2: 650 CALIFORNIA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94108 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_161482153254251.xml FORM 4 X0306 4 2021-02-01 0 0001820953 Affirm Holdings, Inc. AFRM 0001832802 Caro del Castillo Sharda C/O AFFIRM HOLDINGS, INC. 650 CALIFORNIA STREET SAN FRANCISCO CA 94108 0 1 0 0 Chief Legal Officer Class A Common Stock 2021-02-01 4 M 0 3333 A 20833 D Class A Common Stock 2021-02-01 4 F 0 1233 107.61 D 19600 D Class A Common Stock 2021-03-01 4 M 0 3333 A 22933 D Class A Common Stock 2021-03-01 4 F 0 1247 91.44 D 21686 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 2021-03-02