Home/Filings/4/0001209191-21-004575

4//SEC Filing

Founders Fund V Management, LLC 4

Accession 0001209191-21-004575

CIK 0001820953other

View on SEC.gov Company Profile

Filed

Jan 19, 7:00 PM ET

Accepted

Jan 20, 8:25 PM ET

Size

39.5 KB

Accession

0001209191-21-004575

Insider Transaction Report

Form 4

Period: 2021-01-15

Affirm Holdings, Inc.AFRM

Founders Fund V Entrepreneurs Fund, LP

10% Owner

Transactions

Conversion
Class A Common Stock
2021-01-15+550,000→ 1,486,909 total(indirect: By Fund)
Conversion
Class B Common Stock
2021-01-15−550,000→ 386,909 total(indirect: By Fund)
→ Class A Common Stock (550,000 underlying)
Purchase
Class A Common Stock
2021-01-15$49.00/sh+75,000$3,675,000→ 75,000 total(indirect: By Fund)

Holdings

Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (1,074,604 underlying)
1,074,604
Class A Common Stock
(indirect: By Fund)
60,429
Class A Common Stock
(indirect: By Fund)
56,539
Class A Common Stock
(indirect: By Fund)
2,205,293
Class A Common Stock
(indirect: By Fund)
545,294
Class A Common Stock
(indirect: By LLC)
142,857
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (2,205,293 underlying)
2,205,293
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (545,294 underlying)
545,294
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (27,418 underlying)
27,418
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (60,429 underlying)
60,429
Class B Common Stock
(indirect: By LLC)
→ Class A Common Stock (142,857 underlying)
142,857
Class A Common Stock
(indirect: By Fund)
3,994,807
Class A Common Stock
(indirect: By Fund)
1,074,604
Class A Common Stock
(indirect: By Fund)
27,418
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (3,994,807 underlying)
3,994,807
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (56,539 underlying)
56,539

Founders Fund V, LP

10% Owner

Transactions

Conversion
Class B Common Stock
2021-01-15−550,000→ 386,909 total(indirect: By Fund)
→ Class A Common Stock (550,000 underlying)
Purchase
Class A Common Stock
2021-01-15$49.00/sh+75,000$3,675,000→ 75,000 total(indirect: By Fund)
Conversion
Class A Common Stock
2021-01-15+550,000→ 1,486,909 total(indirect: By Fund)

Holdings

Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (3,994,807 underlying)
3,994,807
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (545,294 underlying)
545,294
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (60,429 underlying)
60,429
Class A Common Stock
(indirect: By Fund)
3,994,807
Class A Common Stock
(indirect: By Fund)
2,205,293
Class A Common Stock
(indirect: By Fund)
545,294
Class A Common Stock
(indirect: By LLC)
142,857
Class B Common Stock
(indirect: By LLC)
→ Class A Common Stock (142,857 underlying)
142,857
Class A Common Stock
(indirect: By Fund)
1,074,604
Class A Common Stock
(indirect: By Fund)
56,539
Class A Common Stock
(indirect: By Fund)
27,418
Class A Common Stock
(indirect: By Fund)
60,429
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (1,074,604 underlying)
1,074,604
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (56,539 underlying)
56,539
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (2,205,293 underlying)
2,205,293
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (27,418 underlying)
27,418

Founders Fund V Principals Fund, LP

10% Owner

Transactions

Conversion
Class B Common Stock
2021-01-15−550,000→ 386,909 total(indirect: By Fund)
→ Class A Common Stock (550,000 underlying)
Conversion
Class A Common Stock
2021-01-15+550,000→ 1,486,909 total(indirect: By Fund)
Purchase
Class A Common Stock
2021-01-15$49.00/sh+75,000$3,675,000→ 75,000 total(indirect: By Fund)

Holdings

Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (3,994,807 underlying)
3,994,807
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (2,205,293 underlying)
2,205,293
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (27,418 underlying)
27,418
Class A Common Stock
(indirect: By Fund)
3,994,807
Class A Common Stock
(indirect: By Fund)
545,294
Class A Common Stock
(indirect: By Fund)
27,418
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (1,074,604 underlying)
1,074,604
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (56,539 underlying)
56,539
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (545,294 underlying)
545,294
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (60,429 underlying)
60,429
Class B Common Stock
(indirect: By LLC)
→ Class A Common Stock (142,857 underlying)
142,857
Class A Common Stock
(indirect: By Fund)
2,205,293
Class A Common Stock
(indirect: By Fund)
1,074,604
Class A Common Stock
(indirect: By Fund)
56,539
Class A Common Stock
(indirect: By Fund)
60,429
Class A Common Stock
(indirect: By LLC)
142,857

THIEL PETER

10% Owner

Transactions

Purchase
Class A Common Stock
2021-01-15$49.00/sh+75,000$3,675,000→ 75,000 total(indirect: By Fund)
Conversion
Class A Common Stock
2021-01-15+550,000→ 1,486,909 total(indirect: By Fund)
Conversion
Class B Common Stock
2021-01-15−550,000→ 386,909 total(indirect: By Fund)
→ Class A Common Stock (550,000 underlying)

Holdings

Class A Common Stock
(indirect: By Fund)
1,074,604
Class A Common Stock
(indirect: By Fund)
2,205,293
Class A Common Stock
(indirect: By Fund)
27,418
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (545,294 underlying)
545,294
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (60,429 underlying)
60,429
Class A Common Stock
(indirect: By Fund)
3,994,807
Class A Common Stock
(indirect: By Fund)
56,539
Class A Common Stock
(indirect: By Fund)
545,294
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (56,539 underlying)
56,539
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (2,205,293 underlying)
2,205,293
Class B Common Stock
(indirect: By LLC)
→ Class A Common Stock (142,857 underlying)
142,857
Class A Common Stock
(indirect: By Fund)
60,429
Class A Common Stock
(indirect: By LLC)
142,857
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (3,994,807 underlying)
3,994,807
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (1,074,604 underlying)
1,074,604
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (27,418 underlying)
27,418

Singerman Brian Aaron

10% Owner

Transactions

Conversion
Class A Common Stock
2021-01-15+550,000→ 1,486,909 total(indirect: By Fund)
Purchase
Class A Common Stock
2021-01-15$49.00/sh+75,000$3,675,000→ 75,000 total(indirect: By Fund)
Conversion
Class B Common Stock
2021-01-15−550,000→ 386,909 total(indirect: By Fund)
→ Class A Common Stock (550,000 underlying)

Holdings

Class A Common Stock
(indirect: By LLC)
142,857
Class A Common Stock
(indirect: By Fund)
56,539
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (3,994,807 underlying)
3,994,807
Class A Common Stock
(indirect: By Fund)
3,994,807
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (56,539 underlying)
56,539
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (27,418 underlying)
27,418
Class A Common Stock
(indirect: By Fund)
60,429
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (1,074,604 underlying)
1,074,604
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (2,205,293 underlying)
2,205,293
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (545,294 underlying)
545,294
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (60,429 underlying)
60,429
Class B Common Stock
(indirect: By LLC)
→ Class A Common Stock (142,857 underlying)
142,857
Class A Common Stock
(indirect: By Fund)
1,074,604
Class A Common Stock
(indirect: By Fund)
2,205,293
Class A Common Stock
(indirect: By Fund)
545,294
Class A Common Stock
(indirect: By Fund)
27,418

Founders Fund V Management, LLC

10% Owner

Transactions

Conversion
Class A Common Stock
2021-01-15+550,000→ 1,486,909 total(indirect: By Fund)
Conversion
Class B Common Stock
2021-01-15−550,000→ 386,909 total(indirect: By Fund)
→ Class A Common Stock (550,000 underlying)
Purchase
Class A Common Stock
2021-01-15$49.00/sh+75,000$3,675,000→ 75,000 total(indirect: By Fund)

Holdings

Class A Common Stock
(indirect: By Fund)
1,074,604
Class A Common Stock
(indirect: By Fund)
545,294
Class A Common Stock
(indirect: By Fund)
60,429
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (3,994,807 underlying)
3,994,807
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (1,074,604 underlying)
1,074,604
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (27,418 underlying)
27,418
Class A Common Stock
(indirect: By Fund)
3,994,807
Class A Common Stock
(indirect: By Fund)
56,539
Class B Common Stock
(indirect: By LLC)
→ Class A Common Stock (142,857 underlying)
142,857
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (56,539 underlying)
56,539
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (545,294 underlying)
545,294
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (60,429 underlying)
60,429
Class A Common Stock
(indirect: By Fund)
2,205,293
Class A Common Stock
(indirect: By Fund)
27,418
Class A Common Stock
(indirect: By LLC)
142,857
Class B Common Stock
(indirect: By Fund)
→ Class A Common Stock (2,205,293 underlying)
2,205,293

Footnotes (11)

[F1]Shares held by FF Affirm Growth, LLC ("FF-Affirm"). Peter Thiel, Brian Singerman and Keith Rabois have shared voting and investment power over the shares held by FF-Affirm and, accordingly, may be deemed to beneficially own the shares held by FF-Affirm. Each of Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his respective pecuniary interest therein. Mr. Rabois is a director of the Issuer, files separate Section 16 reports, and reported this purchase on a Form 4 filed on January 15, 2021.
[F10]Shares held by The Founders Fund Growth Principals Fund, LP ("FF-GP"). Peter Thiel, Brian Singerman and Keith Rabois have shared voting and investment power over the shares held by FF-GP and, accordingly, may be deemed to beneficially own the shares held by FF-GP. Each of Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his respective pecuniary interest therein. Mr. Rabois is a director of the Issuer and files separate Section 16 reports.
[F11]Shares held by Rivendell Investments 3 LLC. Peter Thiel is the beneficial owner of Rivendell Investments 3 LLC and has sole voting and investment power over the shares held by Rivendell Investments 3 LLC.
[F2]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 ("Class A Common Stock"). The Class B Common Stock has no expiration date.
[F3]Shares held by The Founders Fund Growth, LP ("FF-G"). Peter Thiel, Brian Singerman and Keith Rabois have shared voting and investment power over the shares held by FF-G and, accordingly, may be deemed to beneficially own the shares held by FF-G. Each of Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his respective pecuniary interest therein. Mr. Rabois is a director of the Issuer and files separate Section 16 reports.
[F4]Shares held by The Founders Fund V, LP ("FF-V"). The Founders Fund V Management, LLC ("FF-VM") is the general partner of FF-V and may be deemed to beneficially own the shares held by FF-V. Peter Thiel and Brian Singerman have shared voting and investment power over the shares held by FF-V and, accordingly, may be deemed to beneficially own the shares held by FF-V. Each of FF-VM, Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his or its respective pecuniary interest therein.
[F5]Shares held by The Founders Fund V Principals Fund, LP ("FF-VP"). FF-VM is the general partner of FF-VP and may be deemed to beneficially own the shares held by FF-VP. Peter Thiel and Brian Singerman have shared voting and investment power over the shares held by FF-VP and, accordingly, may be deemed to beneficially own the shares held by FF-VP. Each of FF-VM, Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his or its respective pecuniary interest therein.
[F6]Shares held by The Founders Fund V Entrepreneurs Fund, LP ("FF-VE"). FF-VM is the general partner of FF-VE and may be deemed to beneficially own the shares held by FF-VE. Peter Thiel and Brian Singerman have shared voting and investment power over the shares held by FF-VE and, accordingly, may be deemed to beneficially own the shares held by FF-VE. Each of FF-VM, Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his or its respective pecuniary interest therein.
[F7]Shares held by The Founders Fund VI, LP ("FF-VI"). Peter Thiel, Brian Singerman and Keith Rabois have shared voting and investment power over the shares held by FF-VI and, accordingly, may be deemed to beneficially own the shares held by FF-VI. Each of Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his respective pecuniary interest therein. Mr. Rabois is a director of the Issuer and files separate Section 16 reports.
[F8]Shares held by The Founders Fund VI Principals Fund, LP ("FF-VIP"). Peter Thiel, Brian Singerman and Keith Rabois have shared voting and investment power over the shares held by FF-VIP and, accordingly, may be deemed to beneficially own the shares held by FF-VIP. Each of Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his respective pecuniary interest therein. Mr. Rabois is a director of the Issuer and files separate Section 16 reports.
[F9]Shares held by The Founders Fund VI Entrepreneurs Fund, LP ("FF-VIE"). Peter Thiel, Brian Singerman and Keith Rabois have shared voting and investment power over the shares held by FF-VIE and, accordingly, may be deemed to beneficially own the shares held by FF-VIE. Each of Mr. Thiel and Mr. Singerman disclaims beneficial ownership in these shares except to the extent of his respective pecuniary interest therein. Mr. Rabois is a director of the Issuer and files separate Section 16 reports.

Documents

1 file

4
doc4.xmlPrimary
FORM 4 SUBMISSION

Issuer

Affirm Holdings, Inc.

CIK 0001820953

→

Entity typeother

Related Parties

filerCIK 0001697733

Filing Metadata

Form type: 4
Filed: Jan 19, 7:00 PM ET
Accepted: Jan 20, 8:25 PM ET
Size: 39.5 KB

View on SEC.gov