0000899243-15-008459.txt : 20151118
0000899243-15-008459.hdr.sgml : 20151118
20151118205650
ACCESSION NUMBER: 0000899243-15-008459
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20151118
FILED AS OF DATE: 20151118
DATE AS OF CHANGE: 20151118
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: 901 MISSION STREET
STREET 2: SUITE 104
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
BUSINESS PHONE: 415-375-3176
MAIL ADDRESS:
STREET 1: 901 MISSION STREET
STREET 2: SUITE 104
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: STARBUCKS CORP
CENTRAL INDEX KEY: 0000829224
STANDARD INDUSTRIAL CLASSIFICATION: RETAIL-EATING & DRINKING PLACES [5810]
STATE OF INCORPORATION: WA
FISCAL YEAR END: 0927
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37622
FILM NUMBER: 151242128
BUSINESS ADDRESS:
STREET 1: P O BOX 34067
CITY: SEATTLE
STATE: WA
ZIP: 98124-1067
BUSINESS PHONE: 2064471575
MAIL ADDRESS:
STREET 1: 2401 UTAH AVENUE SOUTH
CITY: SEATTLE
STATE: WA
ZIP: 98134
3
1
doc3.xml
FORM 3 SUBMISSION
X0206
3
2015-11-18
0
0001512673
Square, Inc.
SQ
0000829224
STARBUCKS CORP
2401 UTAH AVENUE SOUTH
SEATTLE
WA
98134
0
0
1
0
Series D Preferred Stock
Common Stock
2269830
D
Warrant to Purchase Stock (right to buy)
11.014
Common Stock
9456955.3
D
The Series D Preferred Stock is convertible into Common Stock on a 1:1 basis and has no expiration date. Immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock, all shares of Series D Preferred Stock will be converted into shares of Common Stock.
Each share of Common Stock shall be reclassified into one share of Class B Common Stock immediately prior to the completion of the Issuer's initial public offering of Class A Common Stock. 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.
The Warrant became exercisable in full prior to the Issuer's initial public offering of Class A Common Stock. The Warrant expires on the earliest of (i) the fifth anniversary of the Commercial Launch Date; (ii) the consummation of a Liquidation Transaction; and (iii) forfeiture and cancellation pursuant to Section 3.2 of the Commercial Agreement, to the extent applicable (as such capitalized terms are defined in the Warrant).
/s/ Robert L. Villasenor, on behalf of Starbucks Corporation
2015-11-18