Block, Inc. — Director's Dealing 2018

Jan 11, 2018

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: Square, Inc. (SQ)
CIK: 0001512673
Period of Report: 2017-12-31

Reporting Person: Summers Lawrence Henry (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2017-08-11	Class A Common Stock	G	27382	$0.00	Disposed	10651	Direct
2017-08-11	Class A Common Stock	G	27382	$0.00	Acquired	27382	Indirect

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2017-08-11	Class B Common Stock	$	G	201019	Disposed		Class A Common Stock (201019)	Direct
2017-08-11	Class B Common Stock	$	G	201019	Acquired		Class A Common Stock (201019)	Indirect

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Class B Common Stock	$		Class A Common Stock (322874)	322874	Indirect

Footnotes

F1: This transaction involved a gift of shares by the Reporting Person to his LHS 2017 Qualified Annuity Trust - Square, for which the Reporting Person serves as trustee.

F2: The shares are held of record by the LHS 2017 Qualified Annuity Trust - Square.

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