Block, Inc. — Director's Dealing 2021

Dec 14, 2021

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: Block, Inc. (SQ)
CIK: 0001512673
Period of Report: 2021-12-10

Reporting Person: McKelvey James Morgan Jr. (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-12-10	Class A Common Stock	G	50000	$0.00	Disposed	125000	Indirect
2021-12-10	Class A Common Stock	G	50000	$0.00	Acquired	53906	Direct
2021-12-10	Class A Common Stock	C	372191	$0.00	Acquired	426097	Direct
2021-12-10	Class A Common Stock	G	425000	$0.00	Disposed	1097	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2021-12-10	Class B Common Stock	$	G	372191	Disposed		Class A Common Stock (372191)	Indirect
2021-12-10	Class B Common Stock	$	G	372191	Acquired		Class A Common Stock (372191)	Direct
2021-12-10	Class B Common Stock	$	C	372191	Disposed		Class A Common Stock (372191)	Direct

Footnotes

F1: This transaction involved a gift of shares by a trust for the benefit of the Reporting Person's spouse to the Reporting Person.

F2: The shares are held by the Anna Elefteria Ntenta Trust, dated 11/30/2017, for the benefit of the Reporting Person's spouse.

F3: Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.

F4: 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.

F5: The shares are held of record by the James McKelvey, Jr. Revocable Trust dated July 2, 2014, for which the Reporting Person serves as a Trustee.