Block, Inc. — Director's Dealing 2017

Apr 26, 2017

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Square, Inc. (SQ)
CIK: 0001512673
Period of Report: 2017-04-24

Reporting Person: Summers Lawrence Henry (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2017-04-24	Class A Common Stock	C	24604	$0.00	Acquired	24604	Indirect
2017-04-24	Class A Common Stock	G	24604	$0.00	Disposed	0	Indirect

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-04-24	Class B Common Stock	$	C	24604	Disposed		Class A Common Stock (24604)	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B Common Stock	$		Class A Common Stock (24604)	24604	Indirect
Class B Common Stock	$		Class A Common Stock (33214)	33214	Direct
Class B Common Stock	$		Class A Common Stock (740679)	740679	Indirect

Footnotes

F1: Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the LHS 2015 Qualified Annuity Trust #2S dated March 26, 2015 (LHS 2015 #2S), for which the Reporting Person serves as trustee.

F2: The shares are held of record by LHS 2015 #2S.

F3: 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.

F4: Reflects the transfer from LHS 2015 #2S to the Reporting Person as an annuity payment.

F5: The shares are held of record by the LHS 2016 Qualified Annuity Trust - Square, for which the Reporting Person serves as trustee.