0001209191-19-054178.txt : 20191025 0001209191-19-054178.hdr.sgml : 20191025 20191025173534 ACCESSION NUMBER: 0001209191-19-054178 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20191023 FILED AS OF DATE: 20191025 DATE AS OF CHANGE: 20191025 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Brooks Amy CENTRAL INDEX KEY: 0001791777 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 191170798 MAIL ADDRESS: STREET 1: 1455 MARKET STREET, SUITE 600 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2019-10-23 1 0001512673 Square, Inc. SQ 0001791777 Brooks Amy 1455 MARKET STREET SUITE 600 SAN FRANCISCO CA 94103 1 0 0 0 No securities are beneficially owned. /s/ Shahzia Rahman, Attorney-in-Fact 2019-10-25 EX-24.3_877062 2 poa.txt POA DOCUMENT POWER OF ATTORNEY The undersigned hereby constitutes and appoints Tait Svenson, Shahzia Rahman, Susan Szotek, and Chris Williams, and each of them, as the undersigned's true and lawful attorney-in-fact to: 1. complete and execute Forms 3, 4 and 5 and other forms and all amendments thereto as such attorney-in-fact shall in his or her discretion determine to be required or advisable pursuant to Section 16 of the Securities Exchange Act of 1934 (as amended) and the rules and regulations promulgated thereunder, or any successor laws and regulations, as a consequence of the undersigned's ownership, acquisition or disposition of securities of the Company; and 2. do all acts necessary in order to file such forms with the Securities and Exchange Commission (the "SEC"), any securities exchange or national association, the Company and such other person or agency as the attorneys-in-fact shall deem appropriate. The undersigned also hereby constitutes and appoints the foregoing attorneys-in-fact, and each of them, as the undersigned's true and lawful attorney-in-fact and agent to complete, execute and file a Form ID, including amendments thereto, on EDGAR or such other forms as prescribed by the SEC in order for the undersigned to apply for and obtain EDGAR filing codes. The undersigned hereby ratifies and confirms all that said attorneys-in-fact and agents shall do or cause to be done by virtue hereof. The undersigned acknowledges that the foregoing attorneys-in-fact, in serving in such capacity at the request of the undersigned, are not assuming, nor is the Company assuming, any of the undersigned's responsibilities to comply with Section 16 of the Securities Exchange Act of 1934 (as amended). This Power of Attorney shall remain in full force and effect until the undersigned is no longer required to file Forms ID, 3, 4 and 5 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 the Company and the foregoing attorneys-in-fact. IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be executed as of this 17 day of October 2019. Signature: /s/ Amy Brooks Print Name: Amy Brooks