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