Form 4 for AFRM Affirm Holdings, Inc.
Accepted 2021-10-05 00:00:00 ET · period of report 2021-06-09 · accession 0001628280-21-019738 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| D | 2021-10-05 | 2021-06-09 | AFRM | Jiyane Siphelele | VP, Ctrl | C - Cnv Deriv | — | +5,000 | 23.5K | +27% | — |
| D | 2021-10-05 | 2021-10-01 | AFRM | Jiyane Siphelele | VP, Ctrl | M - OptEx | — | +3,864 | 27.4K | +16% | — |
| D | 2021-10-05 | 2021-10-01 | AFRM | Jiyane Siphelele | VP, Ctrl | F - Tax | $117.85 | -1,699 | 25.7K | -6% | -$200.2K |
| D | 2021-10-05 | 2021-06-09 | AFRM | Jiyane Siphelele | VP, Ctrl | C - Cnv Deriv | $0.00 | -5,000 | 0 | -100% | $0 |
| DM | 2021-10-05 | 2021-10-01 | AFRM | Jiyane Siphelele | VP, Ctrl | M - OptEx | $0.00 | -3,864 | 4,419 | -47% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Class A Common Stock | 2021-06-09 | C | A | 5,000 | — | 23,527 | D | — | — | (F1) Each share of the Issuer's Class B common stock, par value $0.00001 per share ("Class B Common Stock"), is convertible at any time into one share of the Issuer's Class A common stock, par value $0.00001 per share. The Class B Common Stock has no expiration date. |
| 2 | Common | Class A Common Stock | 2021-10-01 | M | A | 3,864 | — | 27,391 | D | — | — | (F2) Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock. |
| 3 | Common | Class A Common Stock | 2021-10-01 | F | D | 1,699 | $117.85 | 25,692 | D | — | — | (F3) Represents the number of shares of the Issuer's Common Stock withheld to satisfy the Reporting Person's tax obligation in connection with the settlement of shares of Common Stock underlying the Reporting Person's RSUs that vested on October 1, 2021. |
| 4 | Derivative | Class B Common Stock | 2021-06-09 | C | D | 5,000 | $0.00 | 0 | D | — · — to — | 5,000 Class A Common Stock | (F1) Each share of the Issuer's Class B common stock, par value $0.00001 per share ("Class B Common Stock"), is convertible at any time into one share of the Issuer's Class A common stock, par value $0.00001 per share. The Class B Common Stock has no expiration date. |
| 5 | Derivative | Restricted Stock Units | 2021-10-01 | M | D | 167 | $0.00 | 3,000 | D | — · — to 2026-08-22 | 167 Class A Common Stock | (F2) Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock. (F4) RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in equal monthly installments for a period of forty-eight months beginning on April 1, 2019, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. |
| 6 | Derivative | Restricted Stock Units | 2021-10-01 | M | D | 1,440 | $0.00 | 14,400 | D | — · — to 2027-10-26 | 1,440 Class A Common Stock | (F2) Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock. (F5) RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in equal monthly installments for a period of twenty-four months beginning on August 1, 2020, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. |
| 7 | Derivative | Restricted Stock Units | 2021-10-01 | M | D | 1,263 | $0.00 | 45,408 | D | — · — to 2027-10-26 | 1,263 Class A Common Stock | (F2) Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock. (F6) RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in equal monthly installments for a period of forty-eight months beginning on October 1, 2020, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. |
| 8 | Derivative | Restricted Stock Units | 2021-10-01 | M | D | 896 | $0.00 | 13,438 | D | — · — to 2027-12-31 | 896 Class A Common Stock | (F2) Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock. (F7) RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in monthly installments for a period of twenty-four months beginning on January 1, 2021, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. |
| 9 | Derivative | Restricted Stock Units | 2021-10-01 | M | D | 98 | $0.00 | 4,419 | D | — · — to 2028-07-14 | 98 Class A Common Stock | (F9) The total number of RSUs has been adjusted to correct for a prior administrative error with respect to the number of RSUs reported to be held by the Reporting Person. (F2) Each Restricted Stock Unit (RSUs) represents a contingent right to receive one share of the Issuer's Class A Common Stock. (F8) RSUs vest with respect to the shares of Class A Common Stock underlying the RSUs in equal monthly installments for a period of forty-eight months beginning on July 1, 2021, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. |