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Block, Inc. Director's Dealing 2018

Jul 26, 2018

30034_dirs_2018-07-26_635f014b-620b-4241-b02c-dc3fd6fa112b.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: 2018-07-24

Reporting Person: Summers Lawrence Henry (Director)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2018-07-24 Class A Common Stock C 322874 $0.00 Acquired 322874 Indirect
2018-07-25 Class A Common Stock G 322874 $0.00 Disposed 0 Indirect

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2018-07-24 Class B Common Stock $ C 322874 Disposed Class A Common Stock (322874) Indirect

Holdings (Non-Derivative)

Security Shares Ownership
Class A Common Stock 14441 Direct
Class A Common Stock 27382 Indirect

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Class B Common Stock $ Class A Common Stock (201019) 201019 Indirect

Footnotes

F1: Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the LHS 2016 Qualified Annuity Trust - Square (LHS 2016 Trust), for which the Reporting Person serves as trustee.

F2: The shares are held of record by the LHS 2016 Trust.

F3: The shares are held of record by LHS 2017 Qualified Annuity Trust - Square, for which the Reporting Person serves as trustee.

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.