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organization · Reporting owner

Khosla Ventures III, L.P.

Disclosed activity across 3 companies

Tapewire entity
117010
SEC CIK
0001471809

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Reported relationships

Latest disclosed role at each company.

CompanyLast reported asReport datePublished
LanzaTech Global, Inc.LNZA · Entity 695210% ownerFebruary 09, 2023February 14, 2023

Disclosed balances

About these balances

Latest available filing per company, not a reconstructed current portfolio. Matching sequences show the last reported balance with all source rows expandable; grouping alone does not establish account ownership. Do not add unresolved positions together. Filings may omit unchanged positions, and amendments may correct only part of an older disclosure. Jointly reported shares are not necessarily this owner's personal holdings.

LanzaTech Global, Inc.

Report date February 09, 2023 · Filed February 14, 2023

Jointly reported with Khosla Ventures Associates III, LLC, VK Services, LLC, KHOSLA VINOD

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Common StockSEC Table I · non-derivativeIndirectSee footnote13,875,332 Reported balance Holding disclosure · report date 2023-02-09 · row 1 Holding and transaction disclosures are not merged.
1 source row

Row 1 · Balance 13,875,332

F1: Consists of securities held of record by Khosla Ventures III, L.P. ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the sole manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV III, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV III. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interests 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.

Common StockSEC Table I · non-derivativeIndirectSee footnote28,992,029 Reported balance Holding disclosure · report date 2023-02-09 · row 2 Holding and transaction disclosures are not merged.
1 source row

Row 2 · Balance 28,992,029

F2: Consists of securities held of record by entities owned or controlled by Vinod Khosla, of which (i) 27,992,029 shares of Common Stock represent securities received upon the conversion of securities of LanzaTech NZ, Inc. into Common Stock of LanzaTech Global, Inc. in connection with AMCI Acquisition Corp. II's business combination transaction with AMCI Merger Sub, Inc. and LanzaTech NZ, Inc. (the "Business Combination Transaction") and (ii) 1,000,000 shares of Common Stock represent securities acquired by an entity owned or controlled by Vinod Khosla immediately prior to the consummation of the Business Combination Transaction.

F3: Vinod Khosla may be deemed to possess voting and investment control over such securities held by such entities, and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by such entities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interests 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.

Filing footnotes · ownership attribution and instrument terms

F1: Consists of securities held of record by Khosla Ventures III, L.P. ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the sole manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV III, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV III. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interests 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.

F2: Consists of securities held of record by entities owned or controlled by Vinod Khosla, of which (i) 27,992,029 shares of Common Stock represent securities received upon the conversion of securities of LanzaTech NZ, Inc. into Common Stock of LanzaTech Global, Inc. in connection with AMCI Acquisition Corp. II's business combination transaction with AMCI Merger Sub, Inc. and LanzaTech NZ, Inc. (the "Business Combination Transaction") and (ii) 1,000,000 shares of Common Stock represent securities acquired by an entity owned or controlled by Vinod Khosla immediately prior to the consummation of the Business Combination Transaction.

F3: Vinod Khosla may be deemed to possess voting and investment control over such securities held by such entities, and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by such entities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interests 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.

Past disclosures · reporting ended (2)

No longer tracked through insider filings. These historical balances do not imply present ownership or a zero position.

Block, Inc.

Report date June 08, 2017 · Filed June 12, 2017

Jointly reported with Khosla Ventures Associates III, LLC, VK Services, LLC, KHOSLA VINOD

Section 16 reporting ended · disclosed 2017-06-12. Current position is not established by this disclosure.

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Class A Common StockSEC Table I · non-derivativeIndirectSee footnote0 Reported balance After 2017-06-08 transaction · row 1 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 1 · 2017-06-08 · Other · Disposed 5,000,000 · Balance 0

F2: On June 8, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F1: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Class A Common StockSEC Table I · non-derivativeIndirectSee footnote454,545 Reported balance After 2017-06-08 transaction · row 2 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 2 · 2017-06-08 · Other · Acquired 454,545 · Balance 454,545

F2: On June 8, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F4: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Class A Common StockSEC Table I · non-derivativeIndirectSee footnote0 Reported balance After 2017-06-08 transaction · row 3 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 3 · 2017-06-08 · Other · Disposed 454,545 · Balance 0

F3: On June 8, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F4: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Class A Common StockSEC Table I · non-derivativeIndirectSee footnote2,549,361 Reported balance After 2017-06-08 transaction · row 4 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 4 · 2017-06-08 · Other · Acquired 439,545 · Balance 2,549,361

F3: On June 8, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F5: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Filing footnotes · ownership attribution and instrument terms

F1: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

F2: On June 8, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F3: On June 8, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F4: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

F5: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

QuantumScape Corp

Report date December 02, 2021 · Filed December 07, 2021

Jointly reported with Khosla Ventures Associates III, LLC, VK Services, LLC, KHOSLA VINOD

Section 16 reporting ended · disclosed 2021-12-07. Current position is not established by this disclosure.

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Class A Common StockSEC Table I · non-derivativeIndirectSee footnote1,286,463 Reported balance After 2021-12-02 transaction · row 1 Joint disclosure: continuity of the reported position is unresolved; see ownership footnotes.
1 source row

Row 1 · 2021-12-02 · Other · Disposed 3,544,040 · Balance 1,286,463

F1: On December 2, 2021, 3,544,040 shares of Class A Common Stock held by Khosla Ventures III, L.P. ("KV III") were distributed to the limited partners and general partners of KV III in a pro rata distribution for no consideration. Of such distributed shares, 1,288,742 shares of Class A Common Stock were received by Khosla Ventures Associates III, LLC ("KVA III") and subsequently distributed by KVA III to its members. Of such distributed shares received by KVA III, 890,137 shares of Class A Common Stock were received by VK Services, LLC ("VK Services").

F2: Consists of securities held of record by KV III, of which KVA III is the general partner. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV III, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV III. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Filing footnotes · ownership attribution and instrument terms

F1: On December 2, 2021, 3,544,040 shares of Class A Common Stock held by Khosla Ventures III, L.P. ("KV III") were distributed to the limited partners and general partners of KV III in a pro rata distribution for no consideration. Of such distributed shares, 1,288,742 shares of Class A Common Stock were received by Khosla Ventures Associates III, LLC ("KVA III") and subsequently distributed by KVA III to its members. Of such distributed shares received by KVA III, 890,137 shares of Class A Common Stock were received by VK Services, LLC ("VK Services").

F2: Consists of securities held of record by KV III, of which KVA III is the general partner. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV III, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV III. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Transaction history

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Purchases/sales include open-market and private transactions. Plan disclosure applies to the filing; individual rows may differ. “Not disclosed” is not “unplanned.”

The cutoff filters transaction history only. Company summaries and owner relationships show the latest available disclosures. Parser corrections can improve historical records.

Transaction dateCompanyActivity / securityShares / unitsReported priceReported valueDetails
December 02, 2021 Filed Dec 7, 2021 00:48 UTC QuantumScape Corp QS · Entity 4158 OtherClass A Common Stock 3,544,040 $0.00 $0.00
Disclosure

SEC source: 0000899243-21-047003 · doc4.xml · nonDerivative · entry 1

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 1,286,463

F1 · kind: On December 2, 2021, 3,544,040 shares of Class A Common Stock held by Khosla Ventures III, L.P. ("KV III") were distributed to the limited partners and general partners of KV III in a pro rata distribution for no consideration. Of such distributed shares, 1,288,742 shares of Class A Common Stock were received by Khosla Ventures Associates III, LLC ("KVA III") and subsequently distributed by KVA III to its members. Of such distributed shares received by KVA III, 890,137 shares of Class A Common Stock were received by VK Services, LLC ("VK Services").

F2 · ownership.nature: Consists of securities held of record by KV III, of which KVA III is the general partner. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities held by KV III, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities held by KV III. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 08, 2017 Filed Jun 12, 2017 20:51 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 439,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-016097 · doc4.xml · nonDerivative · entry 4

Khosla Ventures III, L.P. · CIK 0001471809 · former 10% holder

Khosla Ventures Associates III, LLC · CIK 0001501934 · former 10% holder

VK Services, LLC · CIK 0001501927 · former 10% holder

KHOSLA VINOD · CIK 0001032453 · former 10% holder

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 2,549,361

F3 · kind: On June 8, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F5 · ownership.nature: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 08, 2017 Filed Jun 12, 2017 20:51 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-016097 · doc4.xml · nonDerivative · entry 3

Khosla Ventures III, L.P. · CIK 0001471809 · former 10% holder

Khosla Ventures Associates III, LLC · CIK 0001501934 · former 10% holder

VK Services, LLC · CIK 0001501927 · former 10% holder

KHOSLA VINOD · CIK 0001032453 · former 10% holder

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

F3 · kind: On June 8, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F4 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 08, 2017 Filed Jun 12, 2017 20:51 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-016097 · doc4.xml · nonDerivative · entry 2

Khosla Ventures III, L.P. · CIK 0001471809 · former 10% holder

Khosla Ventures Associates III, LLC · CIK 0001501934 · former 10% holder

VK Services, LLC · CIK 0001501927 · former 10% holder

KHOSLA VINOD · CIK 0001032453 · former 10% holder

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 454,545

F2 · kind: On June 8, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F4 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 08, 2017 Filed Jun 12, 2017 20:51 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 5,000,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-016097 · doc4.xml · nonDerivative · entry 1

Khosla Ventures III, L.P. · CIK 0001471809 · former 10% holder

Khosla Ventures Associates III, LLC · CIK 0001501934 · former 10% holder

VK Services, LLC · CIK 0001501927 · former 10% holder

KHOSLA VINOD · CIK 0001032453 · former 10% holder

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

F2 · kind: On June 8, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F1 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 02, 2017 Filed Jun 7, 2017 00:27 UTC Block, Inc. SQ · Entity 3041 ConversionClass B Common Stock · Derivative 10,000,000 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-17-015582 · doc4.xml · derivative · entry 6

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 18,522,780

Underlying: Class A Common Stock · 10,000,000 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F7 · derivative.exercise_price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F7 · price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F7 · derivative.exercise_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F7 · derivative.expiration_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 02, 2017 Filed Jun 7, 2017 00:27 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 439,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-015582 · doc4.xml · nonDerivative · entry 5

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 2,109,816

F4 · kind: On June 2, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F6 · ownership.nature: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 02, 2017 Filed Jun 7, 2017 00:27 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-015582 · doc4.xml · nonDerivative · entry 4

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

F4 · kind: On June 2, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F5 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 02, 2017 Filed Jun 7, 2017 00:27 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-015582 · doc4.xml · nonDerivative · entry 3

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 454,545

F3 · kind: On June 2, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F5 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 02, 2017 Filed Jun 7, 2017 00:27 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 5,000,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-015582 · doc4.xml · nonDerivative · entry 2

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 5,000,000

F3 · kind: On June 2, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
June 02, 2017 Filed Jun 7, 2017 00:27 UTC Block, Inc. SQ · Entity 3041 ConversionClass A Common Stock 10,000,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-015582 · doc4.xml · nonDerivative · entry 1

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 10,000,000

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F1 · price: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 02, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 ConversionClass B Common Stock · Derivative 9,300,000 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · derivative · entry 13

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 28,522,780

Underlying: Class A Common Stock · 9,300,000 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F10 · derivative.exercise_price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F10 · price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.exercise_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.expiration_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 02, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 791,181 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 10

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 1,670,271

F7 · kind: On March 2, 2017, 818,181 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F9 · ownership.nature: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 02, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 818,181 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 9

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F7 · kind: On March 2, 2017, 818,181 shares of Class A Common Stock held by KVA III were distributed to the members of KVA III.

F8 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 02, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 818,181 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 8

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 818,181

F6 · kind: On March 2, 2017, 9,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F8 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 02, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 9,000,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 7

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F6 · kind: On March 2, 2017, 9,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 02, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 SaleClass A Common Stock 300,000 $17.08 $5,124,000.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 6

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 9,000,000

F5 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions ranging from $17.00 to $17.31, inclusive. Each reporting person undertakes to provide Square, Inc., any security holder of Square, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (5) to this Form 4.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 02, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 ConversionClass A Common Stock 9,300,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 5

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 9,300,000

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F1 · price: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 01, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 ConversionClass B Common Stock · Derivative 400,000 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · derivative · entry 12

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 37,822,780

Underlying: Class A Common Stock · 400,000 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F10 · derivative.exercise_price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F10 · price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.exercise_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.expiration_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 01, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 SaleClass A Common Stock 400,000 $17.37 $6,948,000.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 4

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F4 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions ranging from $17.06 to $17.58, inclusive. Each reporting person undertakes to provide Square, Inc., any security holder of Square, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (4) to this Form 4.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
March 01, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 ConversionClass A Common Stock 400,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 3

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 400,000

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
February 28, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 ConversionClass B Common Stock · Derivative 300,000 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · derivative · entry 11

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 38,222,780

Underlying: Class A Common Stock · 300,000 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F10 · derivative.exercise_price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F10 · price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.exercise_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.expiration_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
February 28, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 SaleClass A Common Stock 300,000 $17.44 $5,232,000.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 2

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F3 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions ranging from $17.27 to $17.79, inclusive. Each reporting person undertakes to provide Square, Inc., any security holder of Square, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (3) to this Form 4.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
February 28, 2017 Filed Mar 3, 2017 02:37 UTC Block, Inc. SQ · Entity 3041 ConversionClass A Common Stock 300,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-006250 · doc4.xml · nonDerivative · entry 1

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 300,000

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F1 · price: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
January 31, 2017 Filed Feb 2, 2017 22:17 UTC Block, Inc. SQ · Entity 3041 ConversionClass B Common Stock · Derivative 5,000,000 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-17-002586 · doc4.xml · derivative · entry 6

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 38,522,780

Underlying: Class A Common Stock · 5,000,000 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F7 · derivative.exercise_price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F7 · price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F7 · derivative.exercise_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F7 · derivative.expiration_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F3 · ownership.nature: On January 31, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

Read SEC document
January 31, 2017 Filed Feb 2, 2017 22:17 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 439,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-002586 · doc4.xml · nonDerivative · entry 5

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 879,090

F4 · kind: On January 31, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the general partners of KVA III.

F6 · ownership.nature: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
January 31, 2017 Filed Feb 2, 2017 22:17 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-002586 · doc4.xml · nonDerivative · entry 4

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

F4 · kind: On January 31, 2017, 454,545 shares of Class A Common Stock held by KVA III were distributed to the general partners of KVA III.

F5 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
January 31, 2017 Filed Feb 2, 2017 22:17 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-002586 · doc4.xml · nonDerivative · entry 3

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 454,545

F3 · kind: On January 31, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F5 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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January 31, 2017 Filed Feb 2, 2017 22:17 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 5,000,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-002586 · doc4.xml · nonDerivative · entry 2

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 0

F3 · kind: On January 31, 2017, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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January 31, 2017 Filed Feb 2, 2017 22:17 UTC Block, Inc. SQ · Entity 3041 ConversionClass A Common Stock 5,000,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-17-002586 · doc4.xml · nonDerivative · entry 1

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See footnote

Disclosed balance after: 5,000,000

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F1 · price: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 30, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 439,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 9

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 439,545

F7 · kind: On November 30, 2016, 454,545 shares of Class A Common Stock held by KVA III were distributed to the general partners of KVA III.

F9 · ownership.nature: Consists of securities held of record by VK Services. Vinod Khosla is the managing member of VK Services. Each of VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 30, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 8

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F7 · kind: On November 30, 2016, 454,545 shares of Class A Common Stock held by KVA III were distributed to the general partners of KVA III.

F8 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
November 30, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 454,545 $0.00 $0.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 7

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 454,545

F6 · kind: On November 30, 2016, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F8 · ownership.nature: Consists of securities held of record by KVA III. Vinod Khosla is the managing member of VK Services, which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 30, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 OtherClass A Common Stock 5,000,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 6

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F6 · kind: On November 30, 2016, 5,000,000 shares of Class A Common Stock held by KV III were distributed to the limited partners and general partners of KV III.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 30, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 SaleClass A Common Stock 351,000 $12.76 $4,478,760.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 5

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 5,000,000

F5 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions ranging from $12.48 to $12.89, inclusive. Each reporting person undertakes to provide Square, Inc., any security holder of Square, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (5) to this Form 4.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 29, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 ConversionClass B Common Stock · Derivative 6,311,000 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · derivative · entry 11

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 43,522,780

Underlying: Class A Common Stock · 6,311,000 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F10 · derivative.exercise_price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F10 · price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.exercise_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.expiration_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 29, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 SaleClass A Common Stock 960,000 $12.60 $12,096,000.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 4

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 5,351,000

F4 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions ranging from $12.48 to $12.67, inclusive. Each reporting person undertakes to provide Square, Inc., any security holder of Square, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (4) to this Form 4.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 29, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 ConversionClass A Common Stock 6,311,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 3

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 6,311,000

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F1 · price: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 28, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 ConversionClass B Common Stock · Derivative 689,000 Not disclosed Not disclosed
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · derivative · entry 10

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 49,833,780

Underlying: Class A Common Stock · 689,000 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F10 · derivative.exercise_price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F10 · price: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.exercise_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F10 · derivative.expiration_date: Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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November 28, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 SaleClass A Common Stock 689,000 $12.73 $8,770,970.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 2

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 0

F3 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions ranging from $12.51 to $12.84, inclusive. Each reporting person undertakes to provide Square, Inc., any security holder of Square, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (3) to this Form 4.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

Read SEC document
November 28, 2016 Filed Dec 1, 2016 00:44 UTC Block, Inc. SQ · Entity 3041 ConversionClass A Common Stock 689,000 $0.00 $0.00
Disclosure

SEC source: 0000899243-16-034594 · doc4.xml · nonDerivative · entry 1

Khosla Ventures III, L.P. · CIK 0001471809 · 10% owner

Khosla Ventures Associates III, LLC · CIK 0001501934 · 10% owner

VK Services, LLC · CIK 0001501927 · 10% owner

KHOSLA VINOD · CIK 0001032453 · 10% owner

Joint disclosure: these amounts are not allocated separately to each reporting owner.

10b5-1 filing: Not disclosed

Ownership: Indirect · See Footnote

Disclosed balance after: 689,000

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · kind: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F1 · price: Pursuant to a conversion exempt under Rule 16b-6(b), shares of Class B Common Stock were automatically converted into shares of Class A Common Stock on a one-for-one basis.

F2 · ownership.nature: Consists of securities held of record by Khosla Ventures III, LP ("KV III"), of which Khosla Ventures Associates III, LLC ("KVA III") is the general partner. Vinod Khosla is the managing member of VK Services, LLC ("VK Services"), which is the manager of KVA III. Each of KVA III, VK Services and Vinod Khosla may be deemed to possess voting and investment control over such securities, and each of KVA III, VK Services and Vinod Khosla may be deemed to have indirect beneficial ownership of such securities. Each Reporting Person disclaims beneficial ownership of such shares except to the extent of his or its pecuniary interest therein.

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Value uses the disclosed total when available, otherwise shares × reported transaction price. It is not an estimate of exercise cash cost or investment performance.