0001628280-24-011724.txt : 20240318 0001628280-24-011724.hdr.sgml : 20240318 20240318180120 ACCESSION NUMBER: 0001628280-24-011724 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240314 FILED AS OF DATE: 20240318 DATE AS OF CHANGE: 20240318 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rabois Keith CENTRAL INDEX KEY: 0001539865 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-39888 FILM NUMBER: 24760402 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] ORGANIZATION NAME: 02 Finance 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_1710799270.xml FORM 4 X0508 4 2024-03-14 0 0001820953 Affirm Holdings, Inc. AFRM 0001539865 Rabois Keith ONE LETTERMAN DRIVE BUILDING D, 5TH FLOOR SAN FRANCISCO CA 94129 1 0 0 0 1 Class A Common Stock 2024-03-14 4 S 0 3376 33.2904 D 84452 D Class A Common Stock 2024-03-14 4 S 0 3400 34.4838 D 81052 D Class A Common Stock 2024-03-14 4 S 0 2000 35.2945 D 79052 D Class A Common Stock 2024-03-14 4 S 0 300 37.03 D 78752 D Class A Common Stock 2024-03-14 4 S 0 200 38.195 D 78552 D The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on December 14, 2023. Represents the weighted average sale price of the shares sold from $32.89 to $33.70 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 receipt of 87,828 shares of Class A Common Stock pursuant to pro rata distributions effected by Khosla Ventures to its members, including the Reporting Person, for no additional consideration. Represents the weighted average sale price of the shares sold from $33.91 to $34.89 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 $34.95 to $35.57 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 $36.80 to $37.24 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 $38.18 to $38.21 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. /s/ Josh Samples, Attorney-in-Fact 2024-03-18