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