Block, Inc. — Director's Dealing 2022

May 9, 2022

5/9/22, 2:11 PM

SEC FORM 4

SEC Form 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

FORM 4

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

Washington, D.C. 20549

																							OMB APPROVAL	OMB APPROVAL	OMB APPROVAL	OMB APPROVAL	OMB APPROVAL	OMB APPROVAL
																							OMB Number: 3235-0287
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 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.See Instruction 1(b).																							Estimated average burden hours per response: 0.5
1. Name and Address of Reporting Person* Whiteley Sivan (Last) (First) (Middle) 1455 MARKET STREET SUITE 600 (Street) SAN FRANCISCO CA 94103 (City) (State) (Zip)						2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ]													5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Chief Legal Ofcr. & Corp. Sec.
						3. Date of Earliest Transaction (Month/Day/Year) 05/05/2022
						4. If Amendment, Date of Original Filed (Month/Day/Year)													6. Individual or Joint/Group Filing (Check Applicable Line) X Form filed by One Reporting Person Form filed by More than One Reporting Person
Table I - Non-						Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)				2. Transaction Date (Month/Day/Year)				2A. Deemed Execution Date, if any (Month/Day/Year)			3. Transaction Code (Instr. 8)			4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)							5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)			6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)		7. Nature of Indirect Beneficial Ownership (Instr. 4)
											Code	V		Amount		(A) or (D)		Price
Class A Common Stock				05/0	5/2022						C (1)			4,167		A		$ 0.00			103,233			D
Class A Common Stock				05/0	5/2022						C (1)			13,125		A		$ 0.00			116,358			D
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
Stock Option (right to buy)	$ 7.254	05/05/2022			M					4,167	(2)		02/27/2024		Class B		4,167			$ 0.00		0			D
															Common
															Stock (3)
Class B Common Stock (3)	(3)	05/05/2022			M				4,167		(3)		(3)		Class A		4,167								D
															Common					$ 0.00		4,167
															Stock
Class B Common Stock (3)	(3)	05/05/2022			C (1)					4,167	(3)		(3)		Class A		4,167								D
															Common					$ 0.00		0
															Stock
Stock Option (right to buy)	$ 13.94	05/05/2022			M					13,125	(4)		06/16/2025		Class B		13,125			$ 0.00		0			D
															Common
															Stock (3)
Class B Common Stock (3)	(3)	05/05/2022			M				13,125		(3)		(3)		Class A		13,125								D
															Common					$ 0.00		13,125
															Stock
Class B Common Stock (3)	(3)	05/05/2022			C (1)					13,125	(3)		(3)		Class A		13,125								D
															Common					$ 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. 25% of the shares subject to the option vested on January 31, 2015 and 1/48th of the shares vested monthly thereafter.

3. 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.

4. 25% of the shares subject to the option vested on June 1, 2016 and 1/48th of the shares vested monthly thereafter.

Remarks:

/s/ Susan Szotek, Attorney-in-Fact 05/09/2022 ** 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/1512673/000120919122027901/xslF345X03/doc4.xml

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