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Block, Inc. Director's Dealing 2016

Sep 30, 2016

30034_dirs_2016-09-30_19d55a0c-200e-4d54-86f3-c8adc80b054a.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Square, Inc. (SQ)
CIK: 0001512673
Period of Report: 2016-09-28

Reporting Person: Brougher Francoise (Business Lead)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2016-09-28 Class A Common Stock C 57692 $0.00 Acquired 164977 Direct
2016-09-28 Class A Common Stock S 57692 $12.00 Disposed 107285 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2016-09-28 Stock Option (right to buy) $2.904 M 57692 Disposed 2023-05-31 Class B Common Stock (57692) Direct
2016-09-28 Class B Common Stock $ M 57692 Acquired Class A Common Stock (57692) Direct
2016-09-28 Class B Common Stock $ C 57692 Disposed Class A Common Stock (57692) Direct

Footnotes

F1: Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.

F2: The sale reported on this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.

F3: 25% of the shares subject to the option vested on May 6, 2014, and 1/48 of the shares vest monthly thereafter.

F4: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.