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Block, Inc. Director's Dealing 2018

Dec 6, 2018

30034_dirs_2018-12-06_2dfd71f1-fb9c-4f85-8348-225f6d12679e.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: 2018-12-03

Reporting Person: BOTHA ROELOF (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2018-12-03 Class A Common Stock C 2779822 $0.00 Acquired 2779822 Indirect
2018-12-03 Class A Common Stock C 304186 $0.00 Acquired 304186 Indirect
2018-12-03 Class A Common Stock C 61654 $0.00 Acquired 61654 Indirect
2018-12-03 Class A Common Stock J 2779822 $0.00 Disposed 0 Indirect
2018-12-03 Class A Common Stock J 304186 $0.00 Disposed 0 Indirect
2018-12-03 Class A Common Stock J 61654 $0.00 Disposed 0 Indirect
2018-12-03 Class A Common Stock J 179995 $0.00 Disposed 719981 Indirect
2018-12-03 Class A Common Stock J 127231 $0.00 Acquired 127231 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2018-12-03 Class B Common Stock $ C 2779822 Disposed Class A Common Stock (2779822) Indirect
2018-12-03 Class B Common Stock $ C 304186 Disposed Class A Common Stock (304186) Indirect
2018-12-03 Class B Common Stock $ C 61654 Disposed Class A Common Stock (61654) Indirect

Holdings (Non-Derivative)

Security Shares Ownership
Class A Common Stock 49322 Direct
Class A Common Stock 858081 Indirect
Class A Common Stock 35657 Indirect

Footnotes

F1: SC US (TTGP), Ltd. is the sole general partner of SC U.S. Venture 2010 Management, L.P., which is the sole general partner of each of Sequoia Capital U.S. Venture 2010 Fund, LP, Sequoia Capital U.S. Venture 2010 Partners Fund, LP, Sequoia Capital U.S. Venture 2010 Partners Fund (Q), LP and Sequoia Capital U.S. Venture 2010-Seed Fund, L.P., or collectively, the Venture 2010 Funds. The Reporting Person is a Director of SC US (TTGP), Ltd. The Reporting Person disclaims beneficial ownership of the securities held by the Venture 2010 Funds except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.

F2: Represents a distribution of Class A Common Stock of the Issuer to partners or members and includes subsequent distributions by general partners or managing members to their respective partners or members.

F3: Represents the receipt of shares of Class A Common Stock of the Issuer by virtue of the pro rata in-kind distributions described in footnote (2) above.

F4: SC US (TTGP), Ltd. is the general partner of SCGF IV Management, L.P., which is the general partner of Sequoia Capital U.S. Growth Fund IV, L.P. and Sequoia Capital USGF Principals Fund IV, L.P., or collectively, the SC GFIV Funds. The Reporting Person is a Director of SC US (TTGP), Ltd. The Reporting Person disclaims beneficial ownership of the securities held by the SC GFIV Funds except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.

F5: 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.