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Block, Inc. Director's Dealing 2015

Nov 25, 2015

30034_dirs_2015-11-25_ecac5cc8-a4e7-45ad-8de5-0d0445be1bb4.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: Square, Inc. (SQ)
CIK: 0001512673
Period of Report: 2015-11-24

Reporting Person: AI Palma Holdings LLC (10% Owner)
Reporting Person: ACCESS INDUSTRIES MANAGEMENT, LLC (10% Owner)
Reporting Person: Blavatnik Len (10% Owner)

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Class B Common Stock $ Common Stock (3999998) Direct

Footnotes

F1: The Class B Common Stock is convertible into Class A Common Stock on a 1:1 basis and has no expiration date.

F2: The securities reported are held directly by AI Palma Holdings LLC ("Palma") and may be deemed to be indirectly beneficially owned by Access Industries Management, LLC and Len Blavatnik because Access Industries Management, LLC is the manager of Palma, and Mr. Blavatnik controls Access Industries Management, LLC and Palma.

F3: Each of the reporting persons (other than Palma) disclaims beneficial ownership of the securities held directly by Palma except to the extent of any pecuniary interest therein, and this Form shall not be construed as an admission that any such reporting person is the beneficial owner of any such securities.