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Block, Inc. — Director's Dealing 2017
Jun 12, 2017
30034_dirs_2017-06-12_b2103ace-ace6-4510-8df3-fb10645286ca.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: 2017-06-08
Reporting Person: Khosla Ventures III, L.P. (former 10% holder)
Reporting Person: Khosla Ventures Associates III, LLC (former 10% holder)
Reporting Person: VK Services, LLC (former 10% holder)
Reporting Person: KHOSLA VINOD (former 10% holder)
Non-Derivative Transactions
| Date | Security | Code | Shares | Price | A/D | Holdings After | Ownership |
|---|---|---|---|---|---|---|---|
| 2017-06-08 | Class A Common Stock | J | 5000000 | $0.00 | Disposed | 0 | Indirect |
| 2017-06-08 | Class A Common Stock | J | 454545 | $0.00 | Acquired | 454545 | Indirect |
| 2017-06-08 | Class A Common Stock | J | 454545 | $0.00 | Disposed | 0 | Indirect |
| 2017-06-08 | Class A Common Stock | J | 439545 | $0.00 | Acquired | 2549361 | Indirect |
Footnotes
F1: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.
F2: On June 8, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.
F3: On June 8, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.
F4: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.
F5: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.