0001820953-21-000040.txt : 20210405 0001820953-21-000040.hdr.sgml : 20210405 20210405205104 ACCESSION NUMBER: 0001820953-21-000040 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210401 FILED AS OF DATE: 20210405 DATE AS OF CHANGE: 20210405 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: 21807795 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_161767017964467.xml FORM 4 X0306 4 2021-04-01 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 2021-04-01 4 M 0 3334 A 57520 D Class A Common Stock 2021-04-01 4 F 0 1653 71.45 D 55867 D Restricted Stock Units 2021-04-01 4 M 0 3334 0 D 2027-12-31 Class A Common Stock 3334.0 70000 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 2021-04-05