SEC Form 4 · accession 0001628280-26-060406
Affirm Holdings, Inc. · AFRM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Siphelele Jiyane
Officer — Chief Accounting Officer
Period of report
Sep 1, 2026
Accepted (ET)
Sep 3, 2026 · 4:05 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001820953
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common Stock | Sep 1, 2026 | M | 9,038 | $0.00 | A | 244,249 | D | |
| Class A Common StockF1 | Sep 1, 2026 | F | 3,558 | $69.94 | D | 240,691 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitsF2,F3 | — | Sep 1, 2026 | M | 2,083 | D | — | — | Class A Common Stock | 2,083 | 2,084 | D |
| Restricted Stock UnitsF2,F4 | — | Sep 1, 2026 | M | 3,333 | D | — | — | Class A Common Stock | 3,333 | 6,667 | D |
| Restricted Stock UnitsF2,F5 | — | Sep 1, 2026 | M | 2,500 | D | — | — | Class A Common Stock | 2,500 | 7,500 | D |
| Restricted Stock UnitsF2,F6 | — | Sep 1, 2026 | M | 1,122 | D | — | — | Class A Common Stock | 1,122 | 7,853 | D |
Explanation of responses
- F1Represents 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 restricted stock units that vested on September 1, 2026.
- F2Each Restricted Stock Unit (RSU) represents a contingent right to receive one share of the Issuer's Class A Common Stock.
- F3The RSUs vest in equal quarterly installments for a period of three years beginning March 1, 2024, subject to the Reporting Person's continued employment with the Issuer as of each vesting date. This grant has no expiration date.
- F4RSUs vest in equal quarterly installments for a period of three years beginning June 1, 2024, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
- F5RSUs vest in equal quarterly installments for a period of three years beginning September 1, 2024, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.
- F6RSUs vest in equal quarterly installments for a period of three years beginning September 1, 2025, the vesting commencement date, subject to the Reporting Person's continued employment with the Issuer as of each vesting date.