0001209191-21-031450.txt : 20210510 0001209191-21-031450.hdr.sgml : 20210510 20210510205951 ACCESSION NUMBER: 0001209191-21-031450 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210506 FILED AS OF DATE: 20210510 DATE AS OF CHANGE: 20210510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Carter Shawn Corey CENTRAL INDEX KEY: 0001549211 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 21909271 MAIL ADDRESS: STREET 1: C/O S. CARTER ENTERPRISES, LLC STREET 2: 1411 BROADWAY CITY: NEW YORK STATE: NY ZIP: 10018 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Square, Inc. CENTRAL INDEX KEY: 0001512673 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 800429876 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 1455 MARKET STREET STREET 2: SUITE 600 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: 415-375-3176 MAIL ADDRESS: STREET 1: 1455 MARKET STREET STREET 2: SUITE 600 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-05-06 0 0001512673 Square, Inc. SQ 0001549211 Carter Shawn Corey 1455 MARKET STREET SUITE 600 SAN FRANCISCO CA 94103 1 0 0 0 Class A Common Stock 2021-05-06 4 A 0 93 0.00 A 8806 D Class A Common Stock 1779 I By immediate family member Class A Common Stock 20812 I See Footnote Class A Common Stock 296 I See Footnote Represents an automatic annual restricted stock unit (RSU) award issued pursuant to the Issuer's Outside Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock upon settlement. 100% of the RSUs vest on the earlier of May 6, 2022, or the date of the Issuer's next annual meeting of stockholders. The shares are held of record by an immediate family member of the Reporting Person. The shares are held of record by SC Panther, LLC, for which the Reporting Person serves as the sole member. The shares are held of record by SC Vessel 5, LLC, for which the Reporting Person serves as the sole member. /s/ Susan Szotek, Attorney-in-Fact 2021-05-10