0000899243-21-002436.txt : 20210119
0000899243-21-002436.hdr.sgml : 20210119
20210119215941
ACCESSION NUMBER: 0000899243-21-002436
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210113
FILED AS OF DATE: 20210119
DATE AS OF CHANGE: 20210119
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GIC Private Ltd
CENTRAL INDEX KEY: 0000936828
STATE OF INCORPORATION: U0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 21537316
BUSINESS ADDRESS:
STREET 1: 168 ROBINSON ROAD
STREET 2: #37-01 CAPITAL TOWER
CITY: SINGAPORE
STATE: U0
ZIP: 068912
BUSINESS PHONE: 065-6889-8888
MAIL ADDRESS:
STREET 1: 168 ROBINSON ROAD
STREET 2: #37-01 CAPITAL TOWER
CITY: SINGAPORE
STATE: U0
ZIP: 068912
FORMER NAME:
FORMER CONFORMED NAME: GOVERNMENT OF SINGAPORE INVESTMENT CORP PTE LTD
DATE OF NAME CHANGE: 20130110
FORMER NAME:
FORMER CONFORMED NAME: GOVERNMENT OF SINGAPORE INVESTMENT CORP PTE LTD ET AL
DATE OF NAME CHANGE: 19950614
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: GIC Special Investments Pte Ltd
CENTRAL INDEX KEY: 0001296212
STATE OF INCORPORATION: U0
FISCAL YEAR END: 0331
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 21537317
BUSINESS ADDRESS:
STREET 1: 168 ROBINSON ROAD
STREET 2: #37-01 CAPITAL TOWER
CITY: SINGAPORE
STATE: U0
ZIP: 068912
BUSINESS PHONE: (650) 593-3100
MAIL ADDRESS:
STREET 1: 168 ROBINSON ROAD
STREET 2: #37-01 CAPITAL TOWER
CITY: SINGAPORE
STATE: U0
ZIP: 068912
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JASMINE VENTURES PTE. LTD.
CENTRAL INDEX KEY: 0001770316
STATE OF INCORPORATION: U0
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 21537318
BUSINESS ADDRESS:
STREET 1: 168 ROBINSON ROAD
STREET 2: #37-01 CAPITAL TOWER
CITY: SINGAPORE
STATE: U0
ZIP: 068912
BUSINESS PHONE: 65 6889 8888
MAIL ADDRESS:
STREET 1: 168 ROBINSON ROAD
STREET 2: #37-01 CAPITAL TOWER
CITY: SINGAPORE
STATE: U0
ZIP: 068912
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: 1231
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
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2021-01-13
0
0001820953
Affirm Holdings, Inc.
AFRM
0000936828
GIC Private Ltd
168 ROBINSON ROAD
#37-01, CAPITAL TOWER
SINGAPORE
U0
068912
SINGAPORE
0
0
1
0
0001296212
GIC Special Investments Pte Ltd
168 ROBINSON ROAD
#37-01 CAPITAL TOWER
SINGAPORE
U0
068912
SINGAPORE
0
0
1
0
0001770316
JASMINE VENTURES PTE. LTD.
168 ROBINSON ROAD
#37-01 CAPITAL TOWER
SINGAPORE
U0
068912
SINGAPORE
0
0
1
0
Class A Common Stock
11003703
I
See Footnotes
Class B Common Stock
Class A Common Stock
11003703
I
See Footnotes
Reflects the conversion of each share of the Issuer's Preferred Stock into Common Stock, and the conversion in turn of each share of the Issuer's Common Stock into one half of one share of Class A Common Stock and one half of one share of Class B Common Stock immediately prior to the consummation of the Issuer's initial public offering of Class A Common Stock.
These securities are owned directly by Jasmine Ventures Pte Ltd ("Jasmine"). Jasmine is controlled and managed by GIC Special Investments Pte Ltd ("GIC SI"), which in turn is a wholly-owned subsidiary of GIC Private Ltd ("GIC," and with Jasmine and GIC SI, each a "Reporting Person"). As such, each of Jasmine, GIC SI and GIC may be deemed to share the power to vote and the power to dispose of these securities.
Each Reporting Person disclaims beneficial ownership of the securities except to the extent of its pecuniary interest therein, and this report shall not be deemed an admission that such Reporting Person is the beneficial owner of the shares for purposes of Section 16 of the Securities Exchange Act of 1934, as amended, or for any other purpose.
Each share of the Issuer's Class B Common Stock is convertible at any time into one share of the Issuer's Class A Common Stock. The Class B Common Stock has no expiration date.
GIC Private Ltd, By: /s/ Celine Loh Sze Ling, Name: Celine Loh Sze Ling, Title: Senior Vice President, By: /s/ Toh Tze Meng, Name: Toh Tze Meng, Title: Senior Vice President
2021-01-19
GIC Special Investments Pte Ltd, By: /s/ Chan Hoe Yin, Name: Chan Hoe Yin, Title: Director
2021-01-19
Jasmine Ventures Pte Ltd, By: /s/ Ankur Meattle, Name: Ankur Meattle, Title: Director
2021-01-19