Block, Inc. — Director's Dealing 2022

Nov 10, 2022

11/10/22, 6:58 PM

SEC FORM 4

SEC Form 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549

FORM 4

OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response: 0.5

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

1. Name and Address of Reporting Person[*]

1. Name and Address of Reporting Person* Henry Alyssa (Last) (First) 1455 MARKET STREET	1. Name and Address of Reporting Person* Henry Alyssa (Last) (First) 1455 MARKET STREET	1. Name and Address of Reporting Person* Henry Alyssa (Last) (First) 1455 MARKET STREET	1. Name and Address of Reporting Person* Henry Alyssa (Last) (First) 1455 MARKET STREET	(Middle)	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 11/09/2022	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 11/09/2022	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 11/09/2022	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 11/09/2022	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Square Lead
	SUITE 600
(Street)					4. If Amendment, Date			of Original Filed (Month/Day/Year)	6. Individual or Joint/Group Filing (Check Applicable Line)
	SAN FRANCISCO	CA		94103					X Form filed by One Reporting Person
									Form filed by More than One Reporting Person
	(City)	(State)		(Zip)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Title of Security (Instr. 3)	1. Title of Security (Instr. 3)			2. Transaction	2A. Deemed	2A. Deemed	3.			4. Securities Acquired (A) or Disposed	4. Securities Acquired (A) or Disposed	4. Securities Acquired (A) or Disposed	5. Amount of		6. Ownership	6. Ownership	7. Nature of
				Date	Execution Date,		Transaction			Of (D) (Instr. 3, 4 and 5)			Securities		Form:	Direct (D)	Indirect
				(Month/Day/Year)	if any		Code (Instr.						Beneficially Owned		or Indirect (I)		Beneficial
					(Month/Day/Year) 8)								Following Reported		(Instr.	4)	Ownership
													Transaction(s) (Instr.				(Instr. 4)
							Code		V	Amount	(A) or (D)	Price	3 and 4)
Class A Common Stock				11/09/2022			C (1)			30,769 A		$ 0.00	453,384			D
Class A Common Stock				11/09/2022			S (2)			25,907 D		$ 58.85 (3)	427,477			D
Class A Common Stock				11/09/2022			S (2)			4,862 D		$ 60.17 (4)	422,615			D
			Table II - Derivative Securities			Acquired, Disposed of, or Beneficially Owned
			(e.g., puts, calls, warrants, options, convertible securities)
1. Title of	2.	3. Transaction 3A. Deemed		4.	5. Number	of	6. Date		Exercisable and		7. Title and Amount of		8. Price of	9. Number of		10.	11. Nature
Derivative	Conversion	Date	Execution Date,	Transaction	Derivative		Expiration Date				Securities Underlying		Derivative	derivative		Ownership	of Indirect
Security (Instr. 3) or Exercise		(Month/Day/Year) if any		Code (Instr. 8)	Securities		(Month/Day/Year)				Derivative Security (Instr. 3 Security			Securities		Form:	Beneficial
	Price of		(Month/Day/Year)		Acquired (A) or						and 4)		(Instr. 5)	Beneficially		Direct (D)	Ownership
	Derivative				Disposed of (D)									Owned		or Indirect	(Instr. 4)
	Security				(Instr. 3, 4	and 5)								Following		(I) (Instr. 4)
														Reported
												Amount or		Transaction(s)
							Date			Expiration		Number of		(Instr. 4)
				Code V	(A) (D)		Exercisable			Date	Title	Shares
Stock Option (right to buy) $ 7.254		11/09/2022		M (2)		30,769 (5)				05/14/2024	Class B Common Stock (6)	30,769	$ 0.00	769,225		D

https://www.sec.gov/Archives/edgar/data/1512673/000120919122056465/xslF345X03/doc4.xml

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11/10/22, 6:58 PM

SEC FORM 4

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned

(e.g., puts, calls, warrants, options, convertible securities)

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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares
Class B Common Stock (6)	(6)	11/09/2022		M		30,769		(6)	(6)	Class A Common Stock	30,769			D
												$ 0.00	30,769
Class B Common Stock (6)	(6)	11/09/2022		C (1)						Class A				D
							30,769	(6)	(6)	Common	30,769	$ 0.00	0
										Stock

Explanation of Responses:

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

2. The option exercise and sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.

3. The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $58.52 to $59.51 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, 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 range set forth in this footnote.

4. The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $59.58 to $60.41 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, 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 range set forth in this footnote.

5. 25% of the shares subject to the option vested on May 12, 2015 and 1/48th of the shares vested monthly thereafter.

6. 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.

Remarks:

/s/ Chris Williams, Attorney-in-Fact 11/10/2022 ** Signature of Reporting Person Date

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

• If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

https://www.sec.gov/Archives/edgar/data/1512673/000120919122056465/xslF345X03/doc4.xml

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