0001209191-21-004911.txt : 20210122 0001209191-21-004911.hdr.sgml : 20210122 20210122171323 ACCESSION NUMBER: 0001209191-21-004911 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20201001 FILED AS OF DATE: 20210122 DATE AS OF CHANGE: 20210122 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Whiteley Sivan CENTRAL INDEX KEY: 0001735067 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 21547053 MAIL ADDRESS: STREET 1: 1455 MARKET STREET STREET 2: 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 4/A 1 doc4a.xml FORM 4/A SUBMISSION X0306 4/A 2020-10-01 2020-10-05 0 0001512673 Square, Inc. SQ 0001735067 Whiteley Sivan 1455 MARKET STREET SUITE 600 SAN FRANCISCO CA 94103 0 1 0 0 Gen. Counsel & Corp. Secretary Class A Common Stock 2020-10-01 4 F 0 6564 168.49 D 124707 D Represents shares that have been withheld by the Issuer to satisfy its income tax and withholding and remittance obligations in connection with the net settlement of restricted stock and restricted stock units and does not represent a sale by the Reporting Person. The original Form 4, filed October 5, 2020, is amended to correct an administrative error, which underreported by 1,808 shares the number of shares withheld by the Issuer on October 1, 2020 to satisfy its income tax and withholding and remittance obligations in connection with the net settlement of restricted stock and restricted stock units. The number of shares beneficially owned by the Reporting Person as reported in Form 4 filings made after October 5, 2020 through the date of this amended Form 4 also reflect the shortfall of 1,808 shares withheld by the Issuer. The number of shares beneficially owned following the reported transaction, as well as additional transactions that occurred on October 1, 2020, is as of October 1, 2020. /s/ Susan Szotek, Attorney-in-Fact 2021-01-22