0001628280-23-040944.txt : 20231206
0001628280-23-040944.hdr.sgml : 20231206
20231206180144
ACCESSION NUMBER: 0001628280-23-040944
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20231204
FILED AS OF DATE: 20231206
DATE AS OF CHANGE: 20231206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: WHITE JAMES D
CENTRAL INDEX KEY: 0001280940
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 231470674
MAIL ADDRESS:
STREET 1: C/O CAVA GROUP, INC.
STREET 2: 202-400-2920 14 RIDGE SQUARE NW, SUITE 5
CITY: WASHINGTON
STATE: DC
ZIP: 20016
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) 960-1518
MAIL ADDRESS:
STREET 1: 650 CALIFORNIA STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
4
1
wk-form4_1701903694.xml
FORM 4
X0508
4
2023-12-04
0
0001820953
Affirm Holdings, Inc.
AFRM
0001280940
WHITE JAMES D
C/O AFFIRM HOLDINGS, INC.
650 CALIFORNIA STREET
SAN FRANCISCO
CA
94108
1
0
0
0
0
Class A Common Stock
2023-12-04
4
A
0
5186
0
A
37238
D
Grant of Restricted Stock Units (RSUs) under the Issuer's Amended and Restated 2012 Stock Plan. The RSUs vest in full upon the earlier of December 4, 2024 or the date of the Issuer's next annual meeting of stockholders, subject to continued service by the Reporting Person as a non-employee director until such earlier date.
Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock.
/s/ David Ritenour, Attorney-in-Fact
2023-12-06