Block, Inc. — Director's Dealing 2021

Sep 15, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Square, Inc. (SQ)
CIK: 0001512673
Period of Report: 2021-07-13

Reporting Person: BOTHA ROELOF (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-07-13	Class A Common Stock	A	11388	—	Acquired	11388	Indirect
2021-07-13	Class A Common Stock	A	479	—	Acquired	479	Indirect
2021-07-13	Class A Common Stock	A	171	—	Acquired	171	Indirect
2021-07-13	Class A Common Stock	A	1750	—	Acquired	1750	Indirect

Holdings (Non-Derivative)

Security	Shares	Ownership
Class A Common Stock	12206	Direct
Class A Common Stock	1862	Indirect
Class A Common Stock	77	Indirect
Class A Common Stock	684741	Indirect

Footnotes

F1: Represents shares of Class A Common Stock of the Issuer received on July 13, 2021 as transaction consideration pursuant to the Agreement and Plan of Merger, dated June 9, 2021, between the Issuer, Speramus, Inc. and the other parties thereto.

F2: SC US (TTGP), Ltd. is the general partner of SC U.S. Venture XV Management, L.P., which is the general partner of Sequoia Capital U.S. Venture Fund XV, L.P., Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P., Sequoia Capital U.S. Venture Partners Fund XV, L.P. and Sequoia Capital U.S. Venture XV Principals Fund, L.P., or collectively, the SC USV XV 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 USV XV 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.

F3: 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.