Block, Inc. — Director's Dealing 2022

Jul 31, 2022

SEC Form 4

FORM 4

OMB APPROVAL

Washington, D.C. 20549

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

0.5

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

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

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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[*]

Henry Alyssa

(Last) (First) (Middle) 1455 MARKET STREET SUITE 600 (Street) SAN FRANCISCO CA 94103 (City) (State) (Zip)

1. Issuer Name and Ticker or Trading Symbol 5. Relationship of Reporting Person(s) to Issuer Block, Inc. [ SQ ] (Check all applicable) Director 10% Owner 3. Date of Earliest Transaction (Month/Day/Year) Officer (give title X Other (specify below) 07/27/2022 below) Square Lead

2. If Amendment, Date of Original Filed (Month/Day/Year)

3. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person

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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction 2A. Deemed 3. Transaction 4. Securities Acquired (A) or Disposed Of 5. Amount of Securities 6. Ownership 7. Nature of
Date Execution Date, Code (Instr. 8) (D) (Instr. 3, 4 and 5) Beneficially Owned Form: Direct (D) or Indirect
(Month/Day/Year) if any Following Reported Indirect (I) (Instr. 4) Beneficial
(Month/Day/Year) Transaction(s) (Instr. 3 Ownership
Code V Amount (A) or (D) Price
and 4) (Instr. 4)
Class A Common Stock 07/27/2022 C(1) 30,770 A $0.00 458,828 D
Class A Common Stock 07/27/2022 S(2) 25,666 D $68.39(3) 433,162 D
Class A Common Stock 07/27/2022 S(2) 5,104 D $68.88(4) 428,058 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative 2. 3. Transaction 3A. Deemed 4. Transaction 5. Number of 6. Date Exercisable and 7. Title and Amount of Securities 8. Price of 9. Number of 10. 11. Nature of
Security (Instr. 3) Conversion Date Execution Date, Code (Instr. 8) Derivative Securities Expiration Date Underlying Derivative Security Derivative derivative Ownership Indirect
or Exercise (Month/Day/Year) if any Acquired (A) or (Month/Day/Year) (Instr. 3 and 4) Security Securities Form: Beneficial
Price of (Month/Day/Year) Disposed of (D) (Instr. 5) Beneficially Direct (D) or Ownership
Derivative (Instr. 3, 4 and 5) Owned Indirect (I) (Instr. 4)
Security Following (Instr. 4)
Amount or Reported
Date Expiration Number of Transaction(s)
Code V (A) (D) Exercisable Date Title Shares (Instr. 4)
Stock Option (right tobuy) $7.254 07/27/2022 M(2) 30,770 (5) 05/14/2024 Class B CommonStock(6) 30,770 $0.00 1,230,760 D
Class A Common
Class B Common Stock(6) (6) 07/27/2022 M 30,770 (6) (6) 30,770 $0.00 30,770 D
Stock
Class A Common
Class B Common Stock(6) (6) 07/27/2022 C(1) 30,770 (6) (6) 30,770 $0.00 0 D
Stock
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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 $67.78 to $68.75 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 $68.78 to $69.15 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/ Susan Szotek, Attorney-in-Fact

/s/ Susan Szotek, Attorney-in-Fact 07/29/2022 ** 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.