0001104659-15-080034.txt : 20151118 0001104659-15-080034.hdr.sgml : 20151118 20151118214849 ACCESSION NUMBER: 0001104659-15-080034 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: Rizvi Traverse Partners, LLC CENTRAL INDEX KEY: 0001658555 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242193 BUSINESS ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 BUSINESS PHONE: 248-594-4751 MAIL ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rizvi Opportunistic Equity Fund I-B (TI), L.P. CENTRAL INDEX KEY: 0001658559 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242194 BUSINESS ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 BUSINESS PHONE: 248-594-4751 MAIL ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rizvi Opportunistic Equity Fund (TI), L.P. CENTRAL INDEX KEY: 0001658558 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242196 BUSINESS ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 BUSINESS PHONE: 248-594-4751 MAIL ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RIZVI SUHAIL CENTRAL INDEX KEY: 0001226358 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242198 MAIL ADDRESS: STREET 1: 575 MADISON AVE STREET 2: 7TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rizvi Traverse Management, LLC CENTRAL INDEX KEY: 0001569633 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242200 BUSINESS ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48009 BUSINESS PHONE: 248-594-4751 MAIL ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48009 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rizvi Opportunistic Equity Fund, L.P. CENTRAL INDEX KEY: 0001658561 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242197 BUSINESS ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 BUSINESS PHONE: 248-594-4751 MAIL ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rizvi Opportunistic Equity Fund I-B, L.P. CENTRAL INDEX KEY: 0001658560 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242195 BUSINESS ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 BUSINESS PHONE: 248-594-4751 MAIL ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Giampetroni John CENTRAL INDEX KEY: 0001590805 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 151242199 MAIL ADDRESS: STREET 1: 260 EAST BROWN STREET STREET 2: SUITE 380 CITY: BIRMINGHAM STATE: MI ZIP: 48009 3 1 a3.xml 3 X0206 3 2015-11-18 0 0001512673 Square, Inc. SQ 0001569633 Rizvi Traverse Management, LLC 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 0001590805 Giampetroni John 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 0001226358 RIZVI SUHAIL 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 0001658561 Rizvi Opportunistic Equity Fund, L.P. 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 0001658558 Rizvi Opportunistic Equity Fund (TI), L.P. 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 0001658560 Rizvi Opportunistic Equity Fund I-B, L.P. 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 0001658559 Rizvi Opportunistic Equity Fund I-B (TI), L.P. 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 0001658555 Rizvi Traverse Partners, LLC 260 EAST BROWN STREET SUITE 380 BIRMINGHAM MI 48009 0 0 1 0 Series D Preferred Stock Common Stock 87420 I See footnote Series D Preferred Stock Common Stock 17560 I See footnote Series D Preferred Stock Common Stock 249500 I See footnote Series D Preferred Stock Common Stock 59250 I See footnote Series D Preferred Stock Common Stock 40210 I See footnote 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, 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. Shares held directly by Rizvi Opportunistic Equity Fund, L.P. Rizvi Traverse Management, LLC (the general partner of Rizvi Opportunistic Equity Fund, L.P.), and John Giampetroni and Suhail Rizvi (the managers of Rizvi Traverse Management, LLC) have sole voting and investment power over the securities held by Rizvi Opportunistic Equity Fund, L.P. Such persons and entities disclaim beneficial ownership of shares held by Rizvi Opportunistic Equity Fund, L.P. except to the extent of any 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. Shares held directly by Rizvi Opportunistic Equity Fund (TI), L.P. Rizvi Traverse Management, LLC (the general partner of Rizvi Opportunistic Equity Fund (TI), L.P.), and John Giampetroni and Suhail Rizvi (the managers of Rizvi Traverse Management, LLC) have sole voting and investment power over the securities held by Rizvi Opportunistic Equity Fund (TI), L.P. Such persons and entities disclaim beneficial ownership of shares held by Rizvi Opportunistic Equity Fund (TI), L.P. except to the extent of any 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. Shares held directly by Rizvi Opportunistic Equity Fund I-B, L.P. Rizvi Traverse Management, LLC (the general partner of Rizvi Opportunistic Equity Fund I-B, L.P.), and John Giampetroni and Suhail Rizvi (the managers of Rizvi Traverse Management, LLC) have sole voting and investment power over the securities held by Rizvi Opportunistic Equity Fund I-B, L.P. Such persons and entities disclaim beneficial ownership of shares held by Rizvi Opportunistic Equity Fund I-B, L.P. except to the extent of any 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. Shares held directly by Rizvi Opportunistic Equity Fund I-B (TI), L.P. Rizvi Traverse Management, LLC (the general partner of Rizvi Opportunistic Equity Fund I-B (TI), L.P.), and John Giampetroni and Suhail Rizvi (the managers of Rizvi Traverse Management, LLC) have sole voting and investment power over the securities held by Rizvi Opportunistic Equity Fund I-B (TI), L.P. Such persons and entities disclaim beneficial ownership of shares held by Rizvi Opportunistic Equity Fund I-B (TI), L.P. except to the extent of any 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. Shares held directly by Rizvi Traverse Partners, LLC. Rizvi Traverse Management, LLC (the manager of Rizvi Traverse Partners, LLC), and John Giampetroni and Suhail Rizvi (the managers of Rizvi Traverse Management, LLC) have sole voting and investment power over the securities held by Rizvi Traverse Partners, LLC. Such persons and entities disclaim beneficial ownership of shares held by Rizvi Traverse Partners, LLC. except to the extent of any 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. *** This report is filed as one of three to report related transactions for the following filers: Rizvi Traverse Management, LLC; John Giampetroni; Suhail Rizvi; Rizvi Opportunistic Equity Fund, L.P.; Rizvi Opportunistic Equity Fund (TI), L.P.; Rizvi Opportunistic Equity Fund I-B, L.P.; Rizvi Opportunistic Equity Fund I-B (TI), L.P.; Rizvi Traverse Partners, LLC; Rizvi Traverse Management II, LLC; Rizvi Opportunistic Equity Fund II, L.P.; Rizvi Traverse Partners II, LLC; RT-SQ Management, LLC; RT Spartan IV, LLC; RT SQ Co-Invest, LLC; Rizvi Traverse CI GP, LLC; RT SQ Secondary, LLC; RT SQ Co-Invest II, LLC; and RT-SQ TS, LLC. Suhail Rizvi, Managing Director, Rizvi Traverse Management, LLC 2015-11-18 John Giampetroni 2015-11-18 Suhail Rizvi 2015-11-18 Suhail Rizvi, Managing Director of Rizvi Traverse Management, LLC, the General Partner of Rizvi Opportunistic Equity Fund, L.P 2015-11-18 Suhail Rizvi, Managing Director of Rizvi Traverse Management, LLC, the General Partner of Rizvi Opportunistic Equity Fund (TI), L.P. 2015-11-18 Suhail Rizvi, Managing Director of Rizvi Traverse Management, LLC, the General Partner of Rizvi Opportunistic Equity Fund I-B, L.P. 2015-11-18 Suhail Rizvi, Managing Director of Rizvi Traverse Management, LLC, the General Partner of Rizvi Opportunistic Equity Fund I-B (TI), L.P. 2015-11-18 Suhail Rizvi, Managing Director of Rizvi Traverse Management, LLC, the Manager of Rizvi Traverse Partners, LLC 2015-11-18