Block, Inc. — Director's Dealing 2015

Nov 18, 2015

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Square, Inc. (SQ)
CIK: 0001512673
Period of Report: 2015-11-18

Reporting Person: Summers Lawrence Henry (Director)

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	792110	Direct
Common Stock	209040	Indirect
Common Stock	90960	Indirect

Footnotes

F1: Each share of Common Stock shall be reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock.

F2: The shares are held of record by the LHS 2014 Qualified Annuity Trust #1S dated February 13, 2014, for which the Reporting Person serves as trustee.

F3: The shares are held of record by the LHS 2015 Qualified Annuity Trust #2S dated March 26, 2015, for which the Reporting Person serves as trustee.