0001628280-23-032398.txt : 20230915
0001628280-23-032398.hdr.sgml : 20230915
20230915180417
ACCESSION NUMBER: 0001628280-23-032398
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230913
FILED AS OF DATE: 20230915
DATE AS OF CHANGE: 20230915
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Linford Michael
CENTRAL INDEX KEY: 0001715913
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39888
FILM NUMBER: 231259708
MAIL ADDRESS:
STREET 1: 3000 HANOVER STREET
CITY: PALO ALTO
STATE: CA
ZIP: 94304
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
wk-form4_1694815443.xml
FORM 4
X0508
4
2023-09-13
0
0001820953
Affirm Holdings, Inc.
AFRM
0001715913
Linford Michael
C/O AFFIRM HOLDINGS, INC.
650 CALIFORNIA STREET
SAN FRANCISCO
CA
94108
0
1
0
0
Chief Financial Officer
0
Class A Common Stock
104801
D
Stock Option (Right to Buy)
23.35
2023-09-13
4
A
0
455104
0
A
2033-09-13
Class A Common Stock
455104
455104
D
The stock options vest in 48 equal monthly installments beginning September 1, 2024, subject to the Reporting Person's continuous service with the Issuer as of each vesting date.
/s/ David Ritenour, Attorney-in-Fact
2023-09-15