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Block, Inc. — Director's Dealing 2022
May 15, 2022
30034_rns_2022-05-15_12e2f899-810f-4a31-bfc8-91a3eb3a7b34.pdf
Director's Dealing
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5/13/22, 2:30 PM
SEC FORM 4
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SEC Form 4
FORM 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
| Check this box if no longer subject to | STATEMENT OF CHANGES IN | BENEFICIAL | OWNERSHIP | Estim | ated average burd | en | ||||||||||||||
| Section 16. Form 4 or Form 5 | hours | per response: | 0.5 | |||||||||||||||||
| obligations may continue.See Instruction 1(b). |
Filed pursuant to Section 16(a) of the Securities Exchange Act of or Section 30(h) of the Investment Company Act of 1940 |
1934 | ||||||||||||||||||
| 1. Name and Address of Reporting Person* Henry Alyssa |
2. Issuer NameandTicker Block, Inc. [ SQ] |
or Trading Symbol | 5. Relationship of Reporting (Check all applicable) Director |
Person(s) to Issuer 10% Owner |
||||||||||||||||
| (Last) (First) 1455 MARKET STREET |
(Middle) | 3. Date of Earliest Transaction (Month/Day/Year) 05/11/2022 |
X | Officer (give below) |
title 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) | 2. Transaction | 2A. Deemed | 3. | 4. Securities Acquired | (A) or | 5. Amount of | 6. Ownership | 7. Nature of | ||||||||||||
| Date | Execution Date, | Transaction | Disposed Of (D) | (Instr. | 3, 4 and | Securities | Form: Direct | Indirect | ||||||||||||
| (Month/Day/Year) | if any | Code (Instr. | 5) | Beneficially | (D) or Indirect | Beneficial | ||||||||||||||
| (Month/Day/Year) | 8) | Owned Following | (I) (Instr. 4) | Ownership | ||||||||||||||||
| Reported | (Instr. | 4) | ||||||||||||||||||
| Code V |
Amount | (A) or (D) |
Price | Transaction(s) (Instr. 3 and 4) |
||||||||||||||||
| Class A Common Stock | 05/11/2022 | C (1) |
30,770 | A | $ 0.00 | 464,206 | D | |||||||||||||
| Class A Common Stock | 05/11/2022 | S (2) |
7,223 | D | $ 79 (3) |
456,983 | D | |||||||||||||
| Class A Common Stock | 05/11/2022 | S (2) |
7,550 | D | $ 79.97 (4) |
449,433 | D | |||||||||||||
| Class A Common Stock | 05/11/2022 | S (2) |
4,800 | D | $ 81.04 (5) |
444,633 | D | |||||||||||||
| Class A Common Stock | 05/11/2022 | S (2) |
5,192 | D | $ 81.98 (6) |
439,441 | D | |||||||||||||
| Class A Common Stock | 05/11/2022 | S (2) |
6,005 | D | $ 83.08 (7) |
433,436 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
| 1. Title of | 1. Title of | 2. | 3. Transaction 3A. Deemed 4. |
3. Transaction 3A. Deemed 4. |
5. Number of | 5. Number of | 6. Date Exercisable and 7. Title and |
6. Date Exercisable and 7. Title and |
6. Date Exercisable and 7. Title and |
6. Date Exercisable and 7. Title and |
6. Date Exercisable and 7. Title and |
6. Date Exercisable and 7. Title and |
8. Price | 8. Price | of 9. Number of |
10. | 11. Nature |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Derivative | Conversion | Date | Execution Date, Transaction |
Derivative | Expiration Date | Amount of | Derivative derivative |
Ownership | of Indirect | ||||||||
| Security | or Exercise | (Month/Day/Year) if any Code (Instr. |
Securities | (Month/Day/Year) | Securities | Security Securities |
Form: | Beneficial | |||||||||
| (Instr. | 3) | Price of | (Month/Day/Year) 8) |
Acquired (A) | Underlying | (Instr. 5) Beneficially |
Direct (D) | Ownership | |||||||||
| Derivative | or Disposed | Derivative | Owned | or Indirect | (Instr. 4) | ||||||||||||
| Security | of (D) | (Instr. | Security (Instr. 3 | Following | (I) (Instr. 4) | ||||||||||||
| 3, 4 and 5) | and 4) | Reported | |||||||||||||||
| Amount | Transaction(s) (Instr. 4) |
||||||||||||||||
| or | |||||||||||||||||
| Number | |||||||||||||||||
| Date | Expiration | of | |||||||||||||||
| Code V |
(A) | (D) | Exercisable | Date | Title | Shares | |||||||||||
| Stock Option (right to buy) |
$ 7.254 | 05/11/2022 | M | 30,770 | (8) | 05/14/2024 | Class B Common Stock (9) |
30,770 | $ 0.00 | 1,569,230 | D | ||||||
| Class B | Class A | ||||||||||||||||
| Common | (9) | 05/11/2022 | M | 30,770 | (9) | (9) | Common | 30,770 | $ 0.00 | 30,770 | D | ||||||
| Stock (9) |
Stock | ||||||||||||||||
| Class B | Class A | ||||||||||||||||
| Common Stock (9) |
(9) | 05/11/2022 | C (1) |
30,770 | (9) | (9) | Common Stock |
30,770 | $ 0.00 | 0 | D |
Explanation of Responses:
-
Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.
-
The option exercise and sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
-
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $78.51 to $79.50 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.
-
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $79.52 to $80.51 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.
-
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $80.54 to $81.53 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.
-
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $81.54 to $82.52 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.
-
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $82.56 to $83.30 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.
-
25% of the shares subject to the option vested on May 12, 2015 and 1/48th of the shares vested monthly thereafter.
-
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
05/13/2022
** 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).
https://www.sec.gov/Archives/edgar/data/1512673/000120919122028921/xslF345X03/doc4.xml
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5/13/22, 2:30 PM
SEC FORM 4
** 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/1512673/000120919122028921/xslF345X03/doc4.xml
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