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Block, Inc. Director's Dealing 2016

Dec 15, 2016

30034_dirs_2016-12-15_55fbd632-10b0-467c-b3b6-1dfbcf678ae0.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: 2016-12-13

Reporting Person: Dorsey Jack (Director, President, CEO & Chairman, 10% Owner)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2016-12-13 Class A Common Stock C 57750 $0.00 Acquired 57750 Indirect
2016-12-13 Class A Common Stock S 57750 $13.88 Disposed 0 Indirect
2016-12-13 Class A Common Stock C 323750 $0.00 Acquired 323750 Indirect
2016-12-13 Class A Common Stock S 323750 $13.90 Disposed 0 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2016-12-13 Class B Common Stock $ C 57750 Disposed Class A Common Stock (57750) Indirect
2016-12-13 Class B Common Stock $ C 323750 Disposed Class A Common Stock (323750) Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Class B Common Stock $ Class A Common Stock (7952826) 7952826 Indirect

Footnotes

F1: Represents the conversion of Class B Common Stock into Class A Common Stock held of record by Start Small, LLC.

F2: The shares are held of record by Start Small, LLC, for which the Reporting Person is the sole member.

F3: The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the Reporting Person.

F4: The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $13.75 to $13.96 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

F5: Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Jack Dorsey Revocable Trust u/a/d 12/8/10.

F6: 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.

F7: The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $13.74 to $14.04 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

F8: 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.

F9: 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.