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Block, Inc. Director's Dealing 2015

Nov 18, 2015

30034_dirs_2015-11-18_c932dad3-523c-493e-b887-6ee7d1785c6c.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: 2015-11-18

Reporting Person: SC US (TTGP), LTD. (10% Owner)
Reporting Person: SEQUOIA CAPITAL U.S. VENTURE 2010 FUND, L.P. (10% Owner)
Reporting Person: Sequoia Capital U.S. Venture 2010 Partners Fund, L.P. (10% Owner)
Reporting Person: Sequoia Capital U.S. Venture 2010 Partners Fund (Q), L.P. (10% Owner)
Reporting Person: SC U.S. VENTURE 2010 MANAGEMENT, L.P. (10% Owner)

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series B-2 Preferred Stock $ Common Stock (13899110) Indirect
Series B-2 Preferred Stock $ Common Stock (1520930) Indirect
Series B-2 Preferred Stock $ Common Stock (308270) Indirect

Footnotes

F1: The Series B-2 Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the consummation of the Issuer's initial public offering, all shares of Series B-2 Preferred Stock will be converted into shares of Common Stock of the Issuer.

F2: 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.

F3: SC US (TTGP), Ltd. ("SC US TTGP") is the sole general partner of SC U.S. Venture 2010 Management, L.P. ("SC USV 2010 MGMT"), which is the sole general partner of each of Sequoia Capital U.S. Venture 2010 Fund, LP, Sequoia Capital U.S. Venture 2010 Partners Fund, LP and Sequoia Capital U.S. Venture 2010 Partners Fund (Q), LP. As a result, SC US TTGP and SC USV 2010 MGMT may be deemed to share voting and dispositive power with respect to the shares held by Sequoia Capital U.S. Venture 2010 Fund, LP, Sequoia Capital U.S. Venture 2010 Partners Fund, LP and Sequoia Capital U.S. Venture 2010 Partners Fund (Q), LP. Each of the Reporting Persons disclaims beneficial ownership of these securities except to the extent of its pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.