0001209191-21-055023.txt : 20210907 0001209191-21-055023.hdr.sgml : 20210907 20210907170744 ACCESSION NUMBER: 0001209191-21-055023 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210902 FILED AS OF DATE: 20210907 DATE AS OF CHANGE: 20210907 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grassadonia Brian CENTRAL INDEX KEY: 0001803649 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 211239954 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 1 doc4.xml FORM 4 SUBMISSION X0306 4 2021-09-02 0 0001512673 Square, Inc. SQ 0001803649 Grassadonia Brian 1455 MARKET STREET SUITE 600 SAN FRANCISCO CA 94103 0 1 0 0 Cash App Lead Class A Common Stock 2021-09-02 4 M 0 3728 7.254 A 104433 D Class A Common Stock 2021-09-02 4 S 0 3728 270.86 D 100705 D Stock Option (right to buy) 7.254 2021-09-02 4 M 0 3728 0.00 D 2024-02-27 Class A Common Stock 3728 416369 D The option exercise and sale reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan. 20% of the shares subject to the option vested on February 24, 2015 and 1/60th of the shares vested monthly thereafter. /s/ Susan Szotek, Attorney-in-Fact 2021-09-07