0001628280-23-002257.txt : 20230203
0001628280-23-002257.hdr.sgml : 20230203
20230203180015
ACCESSION NUMBER: 0001628280-23-002257
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230201
FILED AS OF DATE: 20230203
DATE AS OF CHANGE: 20230203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rabois Keith
CENTRAL INDEX KEY: 0001539865
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 23587694
MAIL ADDRESS:
STREET 1: C/O YELP! INC.
STREET 2: 706 MISSION ST.
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
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) 722-8633
MAIL ADDRESS:
STREET 1: 650 CALIFORNIA STREET
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94108
4
1
wf-form4_167546518336144.xml
FORM 4
X0306
4
2023-02-01
0
0001820953
Affirm Holdings, Inc.
AFRM
0001539865
Rabois Keith
ONE LETTERMAN DRIVE
BUILDING D, 5TH FLOOR
SAN FRANCISCO
CA
94129
1
0
0
0
Class A Common Stock
2023-02-01
4
S
0
10800
16.1948
D
41060
D
Class A Common Stock
2023-02-01
4
S
0
4487
17.4192
D
36573
D
Class A Common Stock
2023-02-01
4
S
0
2000
17.8635
D
34573
D
Class A Common Stock
75000
I
By FF Affirm Growth, LLC
Class A Common Stock
1486909
I
By The Founders Fund Growth, LP
Class A Common Stock
60429
I
By The Founders Fund Growth Principals Fund, LP
The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on September 15, 2022.
Represents the weighted average sale price of the shares sold from $15.73 to $16.69 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $16.75 to $17.74 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
Represents the weighted average sale price of the shares sold from $17.75 to $17.99 per share. The Reporting Person will provide, upon request by the Commission staff, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
The Reporting Person has shared voting and investment power over the shares held by each of The Founders Fund VI, LP, The Founders Fund VI Principals Fund, LP, The Founders Fund VI Entrepreneurs Fund, LP, The Founders Fund Growth, LP, The Founders Fund Growth Principals Fund, LP and FF Affirm Growth, LLC. The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein, and the inclusion of these shares in this report shall not be deemed an admission of beneficial ownership of all of the reported shares for purposes of Section 16 or any other purpose.
/s/ David Ritenour, Attorney-in-Fact
2023-02-03