0001193125-15-388803.txt : 20151125 0001193125-15-388803.hdr.sgml : 20151125 20151125163058 ACCESSION NUMBER: 0001193125-15-388803 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 3 FILED AS OF DATE: 20151125 DATE AS OF CHANGE: 20151125 GROUP MEMBERS: ACCESS INDUSTRIES MANAGEMENT, LLC GROUP MEMBERS: LEN BLAVATNIK SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-89191 FILM NUMBER: 151256510 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 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: AI Palma Holdings LLC CENTRAL INDEX KEY: 0001659086 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G BUSINESS ADDRESS: STREET 1: 730 FIFTH AVENUE STREET 2: 20TH FL CITY: NEW YORK STATE: NY ZIP: 10019 BUSINESS PHONE: 212-247-6400 MAIL ADDRESS: STREET 1: 730 FIFTH AVENUE STREET 2: 20TH FL CITY: NEW YORK STATE: NY ZIP: 10019 SC 13G 1 d63529dsc13g.htm SC 13G SC 13G

 

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

SCHEDULE 13G

Under the Securities Exchange Act of 1934

(Amendment No.     )*

 

 

Square, Inc.

(Name of Issuer)

Class A Common Stock, $.0001 par value

(Title of Class of Securities)

852234103

(CUSIP Number)

November 24, 2015

(Date of Event Which Requires Filing of this Statement)

 

 

Check the appropriate box to designate the rule pursuant to which this Schedule is filed:

¨ Rule 13d-1(b)

x Rule 13d-1(c)

¨ Rule 13d-1(d)

 

* The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page.

The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of the section of the Act but shall be subject to all other provisions of that Act (however, see the Notes).

 

 

 


CUSIP No. 852234103

 

  1   

NAMES OF REPORTING PERSONS

 

AI Palma Holdings LLC

  2  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

(a)  ¨        (b)  ¨

 

  3  

SEC USE ONLY

 

    

  4  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

State of Delaware

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH

       5        

SOLE VOTING POWER

 

3,999,998

       6   

SHARED VOTING POWER

 

0

       7   

SOLE DISPOSITIVE POWER

 

3,999,998

       8   

SHARED DISPOSITIVE POWER

 

0

  9  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

3,999,998

10  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)

 

¨

11  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

11.40% 1

12  

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

 

OO (Limited Liability Company)

 

1  Calculated as provided in Rule 13d-3(d)(1)(i) based on 31,050,000 outstanding shares of Class A Common Stock upon consummation of the Issuer’s initial public offering on November 24, 2015 as reported on the Issuer’s Current Report on Form 8-K, filed with the Securities and Exchange Commission on November 24, 2015, and the 3,999,998 shares of Class A Common Stock issuable upon conversion of an equal number of shares of Class B Common Stock of the Issuer beneficially owned by AI Palma Holdings LLC.

 

2 of 10


CUSIP No. 852234103

 

  1   

NAMES OF REPORTING PERSONS

 

Access Industries Management, LLC

  2  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

(a)  ¨        (b)  ¨

 

  3  

SEC USE ONLY

 

    

  4  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

State of Delaware

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH

       5        

SOLE VOTING POWER

 

0

       6   

SHARED VOTING POWER

 

3,999,998

       7   

SOLE DISPOSITIVE POWER

 

0

       8   

SHARED DISPOSITIVE POWER

 

3,999,998

  9  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

3,999,998

10  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)

 

¨

11  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

11.40% 1

12  

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

 

OO (Limited Liability Company)

 

1  Calculated as provided in Rule 13d-3(d)(1)(i) based on 31,050,000 outstanding shares of Class A Common Stock upon consummation of the Issuer’s initial public offering on November 24, 2015 as reported on the Issuer’s Current Report on Form 8-K, filed with the Securities and Exchange Commission on November 24, 2015, and the 3,999,998 shares of Class A Common Stock issuable upon conversion of an equal number of shares of Class B Common Stock of the Issuer beneficially owned by AI Palma Holdings LLC.

 

3 of 10


CUSIP No. 852234103

 

  1   

NAMES OF REPORTING PERSONS

 

Len Blavatnik

  2  

CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP (SEE INSTRUCTIONS)

(a)  ¨        (b)  ¨

 

  3  

SEC USE ONLY

 

    

  4  

CITIZENSHIP OR PLACE OF ORGANIZATION

 

United States of America

NUMBER OF

SHARES

 BENEFICIALLY 

OWNED BY

EACH

REPORTING

PERSON

WITH

       5        

SOLE VOTING POWER

 

0

       6   

SHARED VOTING POWER

 

3,999,998

       7   

SOLE DISPOSITIVE POWER

 

0

       8   

SHARED DISPOSITIVE POWER

 

3,999,998

  9  

AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON

 

3,999,998

10  

CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES (SEE INSTRUCTIONS)

 

¨

11  

PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)

 

11.40% 1

12  

TYPE OF REPORTING PERSON (SEE INSTRUCTIONS)

 

IN

 

1  Calculated as provided in Rule 13d-3(d)(1)(i) based on 31,050,000 outstanding shares of Class A Common Stock upon consummation of the Issuer’s initial public offering on November 24, 2015 as reported on the Issuer’s Current Report on Form 8-K, filed with the Securities and Exchange Commission on November 24, 2015, and the 3,999,998 shares of Class A Common Stock issuable upon conversion of an equal number of shares of Class B Common Stock of the Issuer beneficially owned by AI Palma Holdings LLC.

 

4 of 10


CUSIP No. 852234103

Item 1.

 

  (a) Name of Issuer:

Square, Inc. (the “Issuer”)

 

  (b) Address of Issuer’s Principal Executive Offices:

901 Mission Street, Suite 104

San Francisco, CA 94103

Item 2.

 

  (a) Name of Person Filing:

This filing is being made on behalf of:

AI Palma Holdings LLC

Access Industries Management, LLC

Len Blavatnik

 

  (b) Address of Principal Business Office or, if none, Residence

AI Palma Holdings LLC

c/o Access Industries, Inc.

730 Fifth Avenue, 20th Floor

New York, NY 10019

Access Industries Management, LLC

c/o Access Industries, Inc.

730 Fifth Avenue, 20th Floor

New York, NY 10019

Len Blavatnik

c/o Access Industries, Inc.

730 Fifth Avenue, 20th Floor

New York, NY 10019

 

  (c) Citizenship:

AI Palma Holdings LLC is a limited liability company organized under the laws of the State of Delaware.

Access Industries Management, LLC is a limited liability company organized under the laws of the State of Delaware.

Mr. Blavatnik is a citizen of the United States of America.

 

  (d) Title of Class of Securities:

Class A Common Stock

 

5 of 10


  (e) CUSIP Number:

852234103

 

Item 3. If this statement is filed pursuant to §§240.13d-1(b), or 240.13d-2(b) or (c), check whether the person filing is a:

 

  (a) [ ] Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o);

 

  (b) [ ] Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c);

 

  (c) [ ] Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c);

 

  (d) [ ] Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8);

 

  (e) [ ] An investment adviser in accordance with §240.13d-1(b) (1)(ii)(E);

 

  (f) [ ] An employee benefit plan or endowment fund in accordance with §240.13d-1(b) (1)(ii)(F);

 

  (g) [ ] A parent holding company or control person in accordance with §240.13d-1(b) (1)(ii)(G);

 

  (h) [ ] A savings associations as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813);

 

  (i) [ ] A church plan that is excluded from the definition of an investment company under section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C. 80a-3);

 

  (j) [ ] A non-U.S. institution in accordance with § 240.13d-1(b)(1)(ii)(J);

 

  (k) [ ] Group, in accordance with § 240.13d-1(b)(1)(ii)(K).

Not Applicable.

 

Item 4. Ownership

Provide the following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1.

 

(a) Amount beneficially owned:

See the responses to Items 5-9 on the attached cover pages.

3,999,998 shares of the Issuer’s Class B Common Stock are owned directly by AI Palma Holdings LLC (“Palma”). The Class B Common Stock is convertible into Class A Common Stock on a one-for-one basis. Each of Access Industries Management, LLC (“AIM LLC”) and Len Blavatnik may be deemed to beneficially own the shares of common stock held directly by Palma. AIM LLC is the manager of Palma and, as a result, may be deemed to share voting and investment power over the shares beneficially owned by Palma. Len Blavatnik controls AIM LLC and, as a result, may be deemed to share voting and investment power over the shares of common stock beneficially owned by Palma. Each of AIM LLC and Len Blavatnik, and each of their affiliated entities and the officers, partners, members and managers thereof, other than Palma, disclaims beneficial ownership of the shares held by Palma.

 

6 of 10


(b) Percent of class:

11.40%*

The reporting persons may be deemed to beneficially own more than 5% of the Issuer’s Class A Common Stock, which is the class of equity securities registered under Section 12 of the Act, by virtue of the treatment of the securities held by the reporting persons only as being converted in to Class A Common Stock for purposes of computing the reporting persons’ percentage ownership of the Class A Common Stock under Rule 13d-3(d)(1)(i). The filing of this Schedule 13G shall not be deemed an admission that the reporting persons are required to file reports pursuant to Section 13 of the Act.

 

(c) Number of shares as to which the person has:

(i) Sole power to vote or to direct the vote:

Palma has sole power to vote or direct the vote of 3,999,998 shares.

(ii) Shared power to vote or to direct the vote:

AIM LLC and Len Blavatnik may be deemed to have shared power to vote or direct the vote of 3,999,998 shares. Each of AIM LLC and Mr. Blavatnik disclaims such beneficial ownership of such shares.

(iii) Sole power to dispose or to direct the disposition:

Palma has sole power to dispose or direct the disposition of 3,999,998 shares.

(iv) Shared power to dispose or to direct the disposition:

AIM LLC and Len Blavatnik may be deemed to have shared power to dispose or direct the disposition of 3,999,998 shares. Each of AIM LLC and Mr. Blavatnik disclaims such beneficial ownership of such shares.

 

Item 5. Ownership of Five Percent or Less of a Class.

If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following [    ]:

 

Item 6. Ownership of More than Five Percent on Behalf of Another Person.

Not Applicable.

 

Item 7. Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person.

Not Applicable.

 

Item 8. Identification and Classification of Members of the Group.

Not Applicable.

 

 

* Calculated as provided in Rule 13d-3(d)(1)(i) based on 31,050,000 outstanding shares of Class A Common Stock upon consummation of the Issuer’s initial public offering on November 24, 2015 as reported on the Issuer’s Current Report on Form 8-K, filed with the Securities and Exchange Commission on November 24, 2015, and the 3,999,998 shares of Class A Common Stock issuable upon conversion of an equal number of shares of Class B Common Stock of the Issuer beneficially owned by AI Palma Holdings LLC.

 

7 of 10


Item 9. Notice of Dissolution of Group.

Not Applicable.

 

Item 10. Certification.

Not applicable.

 

8 of 10


Signature

After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.

Date: November 25, 2015

 

AI PALMA HOLDINGS LLC     By: Access Industries Management, LLC, its Manager
   

/s/ Alejandro Moreno

    Signature
   

Alejandro Moreno / Executive Vice President

    Name/Title
ACCESS INDUSTRIES MANAGEMENT, LLC    

/s/ Alejandro Moreno

    Signature
   

Alejandro Moreno / Executive Vice President

    Name/Title
   

*

    Signature
   

Len Blavatnik

    Name

 

*  The undersigned, by signing his name hereto, executes this Schedule 13G pursuant to the Power of Attorney executed on behalf of Mr. Blavatnik and filed herewith.

    By:  

/s/ Alejandro Moreno

      Name: Alejandro Moreno
      Attorney-in-Fact

 

9 of 10

EX-99.1 2 d63529dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

JOINT FILING AGREEMENT

The undersigned agree that this Schedule 13G dated November 25, 2015 relating to the Class A Common Stock, par value $0.0001 of Square, Inc. shall be filed on behalf of the undersigned.

 

AI PALMA HOLDINGS LLC      By: Access Industries Management, LLC, its Manager
    

/s/ Alejandro Moreno

     Signature
    

Alejandro Moreno / Executive Vice President

     Name/Title
ACCESS INDUSTRIES MANAGEMENT, LLC     

/s/ Alejandro Moreno

     Signature
    

Alejandro Moreno / Executive Vice President

     Name/Title
    

*

     Signature
    

Len Blavatnik

     Name

 

* The undersigned, by signing his name hereto, executes this Schedule 13G pursuant to the Power of Attorney executed on behalf of Mr. Blavatnik and filed herewith.

 

    By:   

/s/ Alejandro Moreno

       Name: Alejandro Moreno
       Attorney-in-Fact
EX-99.2 3 d63529dex992.htm EX-99.2 EX-99.2

Exhibit 99.2

POWER OF ATTORNEY

Know all by these presents, that the undersigned hereby constitutes and appoints Lincoln Benet, Alejandro Moreno and Richard Storey, and each of them individually, the undersigned’s true and lawful attorney-in-fact to:

 

  (1) execute for and on behalf of the undersigned, in the undersigned’s capacity as a beneficial owner of Square, Inc. (the “Company”), (i) Forms 3, 4 and 5 and any other forms required to be filed in accordance with Section 16(a) of the Securities Exchange Act of 1934 (the “Exchange Act”) and the rules thereunder (a “Section 16 Form”), (ii) all forms and schedules in accordance with Section 13(d) of the Exchange Act and the rules thereunder, including all amendments thereto (a “Section 13 Schedule”), (iii) a Form ID Application, Passphrase Update Application and/or request to convert from paper only to electronic filer with the US Securities and Exchange Commission and to obtain access codes to file on EDGAR and any other forms required to be filed or submitted in accordance with Regulation S-T promulgated by the United States Securities and Exchange Commission (or any successor provision) in order to file a Section 13 Schedule or a Section 16 Form electronically (a “Form ID”, and, together with a Section 13 Schedule and Section 16 Form, the “Forms and Schedules”) and (iv) any Joint Filing Agreement or similar agreement with respect to the filing of any of the Forms or Schedules in (i) through (iii) above;

 

  (2) do and perform any and all acts for and on behalf of the undersigned which may be necessary or desirable to complete and execute any such Forms and Schedules, complete and execute any amendment or amendments thereto, and timely file such Forms and Schedules with the United States Securities and Exchange Commission and any stock exchange or similar authority; and

 

  (3) take any other action of any type whatsoever in connection with the foregoing which, in the opinion of each such attorney-in-fact, may be of benefit to, in the best interest of, or legally required by, the undersigned, it being understood that the documents executed by each such attorney-in-fact on behalf of the undersigned pursuant to this Power of Attorney shall be in such form and shall contain such terms and conditions as he may approve in his discretion.

The undersigned hereby grants to each such attorney-in-fact full power and authority to do and perform any and every act and thing whatsoever requisite, necessary or proper to be done in the exercise of any of the rights and powers herein granted, as fully to all intents and purposes as the undersigned might or could do if personally present, with full power of substitution or revocation, hereby ratifying and confirming all that each such attorney-in-fact, or his substitute or substitutes, shall lawfully do or cause to be done by virtue of this Power of Attorney and the rights and powers herein granted. The undersigned


acknowledges that each such attorney-in-fact is serving in such capacity at the request of the undersigned, and is not assuming, nor is the Company assuming, any of the undersigned’s responsibilities to comply with Section 13 or Section 16 of the Exchange Act.

The Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file any Forms and Schedules with respect to the undersigned’s holdings of and transactions in securities issued by the Company, unless earlier revoked by the undersigned in a signed writing delivered to each such attorney-in-fact.

From and after the date hereof, any Power of Attorney previously granted by the undersigned concerning the subject matter hereof is hereby revoked.

IN WITNESS WHEREOF, the undersigned has executed this Power of Attorney on this 24th day of November, 2015.

 

LEONARD BLAVATNIK

/s/ Leonard Blavatnik

 

2