Block, Inc. — Director's Dealing 2022

May 4, 2022

5/4/22, 2:29 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

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

Fil Instruction 1(b).					ed 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)					2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 04/19/2022 4. If Amendment, Date of Original Filed (Month/Day/Year)														5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Square Lead
																			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				04/19/2022							A			48,336 (1) (2)		A		$ 0.00			433,436		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)	$ 125.62	04/19/2022			A			96,671		(3)			04/18/2032		Class A		96,671			$ 0.00		96,671		D
															Common
															Stock

Explanation of Responses:

1. Each share is represented by a restricted stock unit (RSU). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement.

2. 1/16th of the RSUs will vest on July 1, 2022, and each three months thereafter through April 1, 2026.

3. 1/48th of the shares subject to the Option will vest on May 1, 2022 and each month thereafter through April 1, 2026.

Remarks:

/s/ Susan Szotek, Attorney-in-Fact 05/04/2022 ** 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/1512673/000120919122027180/xslF345X03/doc4.xml

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