Founders Fund V, LP 4

4 · Affirm Holdings, Inc. · Filed May 25, 2021

Form 4

Period: 2021-05-21

10% Owner

Transactions

Other
Class A Common Stock
2021-05-21−3,994,807→ 0 total
Other
Class A Common Stock
2021-05-21−1,074,604→ 0 total
Other
Class A Common Stock
2021-05-21−56,539→ 0 total
Other
Class B Common Stock
2021-05-21−3,994,807→ 0 total
→ Class A Common Stock (3,994,807 underlying)
Other
Class B Common Stock
2021-05-21−1,074,604→ 0 total
→ Class A Common Stock (1,074,604 underlying)
Other
Class B Common Stock
2021-05-21−56,539→ 0 total
→ Class A Common Stock (56,539 underlying)

Footnotes (6)

[F1]Represents a pro rata distribution of shares of Class A Common Stock, without additional consideration, by the holder to its general partner and limited partners.
[F2]Shares held by The Founders Fund V, LP.
[F3]Shares held by The Founders Fund V Principals Fund, LP.
[F4]Shares held by The Founders Fund V Entrepreneurs Fund, LP.
[F5]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.
[F6]Represents a pro rata distribution of shares of Class B Common Stock, without additional consideration, by the holder to its general partner and limited partners.

Documents

1 file