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Block, Inc. — Director's Dealing 2023
Nov 13, 2023
30034_rns_2023-11-13_b8bc5b52-2700-44aa-becb-c77908d83e3d.pdf
Director's Dealing
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FORM 4
☐ Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
☐ Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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 BOTHA ROELOF* |
1. Name and Address of Reporting Person BOTHA ROELOF* |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ ] |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director _ 10% Owner Officer (give title below) __ Other (specify below) |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director _ 10% Owner Officer (give title below) __ Other (specify below) |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director _ 10% Owner Officer (give title below) __ Other (specify below) |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (Last) (First) (Middle) 2800 SAND HILL ROAD, SUITE 101 |
3. Date of Earliest Transaction(MM/DD/YYYY) 11/8/2023 |
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| (Street) MENLO PARK, CA 94025 |
4. If Amendment, Date Original Filed(MM/DD/YYYY) | 6. Individual or Joint/Group Filing X Form filed by One Reporting Person ___ Form filed by More than One Reporting P |
(Check Applicable Line) erson |
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| (City) (State) (Zip) | ||||||||||||
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||||
| 1.Title of Security (Instr. 3) |
2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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) |
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| Code | V | Amount | (A) or (D) |
Price | ||||||||
| Class A Common Stock | 11/8/2023 | P | 495,539 | A | $50.8848 (1) |
495,539 | I | Sequoia Capital US/E Expansion Fund I, L.P. (5) |
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| Class A Common Stock | 11/9/2023 | P | 6,412 | A | $50.9969 (2) |
501,951 | I | Sequoia Capital US/E Expansion Fund I, L.P. (5) |
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| Class A Common Stock | 11/10/2023 | P | 15,262 | A | $50.9919 (3) |
517,213 | I | Sequoia Capital US/E Expansion Fund I, L.P. (5) |
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| Class A Common Stock | 11/13/2023 | P | 23,433 | A | $50.9745 (4) |
540,646 | I | Sequoia Capital US/E Expansion Fund I, L.P. (5) |
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| Class A Common Stock | 11,388 | I | Sequoia Capital U.S. Venture Fund XV, L.P. (6) |
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| Class A Common Stock | 479 | I | Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P. (6) |
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| Class A Common Stock | 171 | I | Sequoia Capital U.S. Venture Partners Fund XV, |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1.Title of Security (Instr. 3) |
2. Trans. Date | 2A. Deemed Execution Date, if any |
3. Trans. 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) |
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| Code | V | Amount | (A) or (D) |
Price | ||||||||||||||||||
| L.P. (6) |
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| Class A Common St | ock | 1,750 | I | Sequoia Capital U.S. Venture XV Principals Fund, L.P. (6) |
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| Class A Common St | ock | 1,862 | I | Sequoia Capital U.S. Growth Fund IV, L.P. (7) |
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| Class A Common St | ock | 77 | I | Sequoia Capital USGF Principals Fund IV, L.P. (7) |
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| Class A Common St | ock | 684,741 | I | By estate planning vehicle |
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| Class A Common St | ock | 24,044 | D | |||||||||||||||||||
| Table II - Derivative Securities Beneficially Owned (e.g., puts, | calls, warrants, | options, convertible securities) | ||||||||||||||||||||
| 1. Title of Derivate Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security |
3. Trans. Date |
3A. Deemed Execution Date, if any |
4. Trans. 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 |
7. Title an Securities Derivativ (Instr. 3 a |
d Amount of Underlying e Security nd 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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| Code | V | (A) | (D) | Date Exercisable |
Expiration Date |
Title | Am Sh |
ount or Number of ares |
Explanation of Responses:
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(1) The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $50.63 to $51.00. The Reporting Person undertakes to provide the Issuer, any security holder of the Issuer, or the staff at the Securities and Exchange Commission, upon request, the full information regarding the number of shares purchased at each separate price within the ranges set forth above.
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(2) The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $50.99 to $51.00. The Reporting Person undertakes to provide the Issuer, any security holder of the Issuer, or the staff at the Securities and Exchange Commission, upon request, the full information regarding the number of shares purchased at each separate price within the ranges set forth above.
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(3) The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $50.93 to $51.00. The Reporting Person undertakes to provide the Issuer, any security holder of the Issuer, or the staff at the Securities and Exchange Commission, upon request, the full information regarding the number of shares purchased at each separate price within the ranges set forth above.
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(4) The price reported in column 4 is a weighted average price. These shares were purchased in multiple transactions at prices ranging from $50.85 to $51.00. The Reporting Person undertakes to provide the Issuer, any security holder of the Issuer, or the staff at the Securities and Exchange Commission, upon request, the full information regarding the number of shares purchased at each separate price within the ranges set forth above.
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(5) The Reporting Person is a director and stockholder of SC US (TTGP), Ltd. SC US (TTGP), Ltd. is the general partner of SC US/E Expansion Fund I Management, L.P., which is the general partner of Sequoia Capital US/E Expansion Fund I, L.P. The Reporting Person disclaims beneficial ownership of the securities held by SC US/E Expansion Fund I Management, L.P. except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
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(6) The Reporting Person is a director and stockholder of SC US (TTGP), Ltd. SC US (TTGP), Ltd. is the general partner of SCGF IV Management, L.P., which is the general partner of Sequoia Capital U.S. Growth Fund IV, L.P. and Sequoia Capital USGF Principals Fund IV, L.P., or collectively, the SC GFIV Funds. The Reporting Person disclaims beneficial ownership of the securities held by the SC GFIV Funds except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
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(7) The Reporting Person is a director and stockholder of SC US (TTGP), Ltd. SC US (TTGP), Ltd. is the general partner of SC U.S. Venture XV Management, L.P., which is the general partner of Sequoia Capital U.S. Venture Fund XV, L.P., Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P., Sequoia Capital U.S. Venture Partners Fund XV, L.P. and Sequoia Capital U.S. Venture XV Principals Fund, L.P., or collectively, the SC USV XV Funds. The Reporting Person disclaims beneficial ownership of the securities held by the SC USV XV Funds except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
Reporting Owners
Relationships Reporting Owner Name / Address Director10% OwnerOfficerOther BOTHA ROELOF 2800 SAND HILL ROAD, SUITE 101 X MENLO PARK, CA 94025
Signatures
/s/ Jung Yeon Son, Attorney-in-Fact for Roelof Botha 11/13/2023
** ~~S~~ ignature 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 control number.