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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.