SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Grassadonia Brian

(Last) (First) (Middle)
1455 MARKET STREET
SUITE 600

(Street)
SAN FRANCISCO CA 94103

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/13/2020
3. Issuer Name and Ticker or Trading Symbol
Square, Inc. [ SQ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Cash App Lead
5. If Amendment, Date of Original Filed (Month/Day/Year)
02/24/2020
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 130,890(1)(2)(3)(4)(5)(6) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
1. Represents 4,400 shares of the Issuer's Class A Common Stock owned, 58,007 shares represented by unvested Restricted Stock Awards (RSAs) and 68,483 shares represented by unvested Restricted Stock Units (RSUs).
2. 25,758 of the RSAs represent a contingent right to receive one share of our Class A common stock at the time of grant. Of the original grant of an aggregate of 38,159 RSAs, 1/12th of 10% of the RSAs vested monthly beginning on July 1, 2018 for 12 months, and 1/36th of 90% the remaining RSAs vest monthly thereafter.
3. 32,249 of the RSAs represent a contingent right to receive one share of our Class A common stock at the time of grant. Of the original grant of an aggregate of 39,690 RSAs, 1/16 of the RSAs vested on July 1, 2019, and 1/16 of the total RSAs vest every three months thereafter.
4. 13,205 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 211,268 RSUs, 1/16 of the RSUs vested on July 25, 2016, and 1/16 of the total RSUs vest every three months thereafter.
5. 55,278 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 176,887 RSUs, 1/16 of the RSUs vested on July 1, 2017, and 1/16 of the total RSUs vest every three months thereafter.
6. 1,560 of these shares of the Issuer's Class A Common Stock were inadvertently omitted from the reporting person's original Form 3.
Remarks:
Susan Szotek, Attorney-in-Fact 03/03/2020
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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