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Block, Inc. Director's Dealing 2015

Nov 18, 2015

30034_dirs_2015-11-18_7455251f-2048-4962-84d0-60aceebebfb5.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: Dorsey Jack (Director, President, CEO & Chairman, 10% Owner)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 61382506 Indirect
Common Stock 7952826 Indirect
Common Stock 168750 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 Jack Dorsey Revocable Trust u/a/d 12/8/10, for which the Reporting Person serves as trustee.

F3: The shares are held of record by the Jack Dorsey Remainder Trust u/a/d 6/23/10, for which the Reporting Person serves as trustee.

F4: The shares are held of record by West Studios, LLC for which the Reporting Person is a managing member and shares voting and dispositive power. The Reporting Person disclaims beneficial ownership of such shares except to the extent of his pecuniary interest therein.