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Block, Inc. Director's Dealing 2023

Oct 4, 2023

30034_rns_2023-10-04_9843101c-b53e-48bd-8521-61d5baa59cea.pdf

Director's Dealing

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10/4/23, 4:22 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

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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

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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 to indicate that a
transaction was made pursuant to a
contract, instruction or written plan
for the purchase or sale of equity
securities of the issuer that is
intended to satisfy the affirmative
defense conditions of Rule 10b5-
1(c). See Instruction 10.
1. Name and Address of Reporting Person [] 2. Issuer Name and Ticker or Trading Symbol 5. Relationship of Reporting Person(s) to Issuer
Grassadonia Brian Block, Inc. [ SQ ] (Check all applicable)Director 10% Owner
Officer (give title Other (specify
X
below) below)
(Last) (First) (Middle) 3. Date of Earliest Transaction (Month/Day/Year)
10/02/2023 Cash App Lead
1955 BROADWAY
SUITE 600
4. If Amendment, Date of Original Filed (Month/Day/Year) 6. Individual or Joint/Group Filing (Check Applicable
Line)
(Street)
X Form filed by One Reporting Person
OAKLAND CA 94612
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
Date Execution Date, Transaction Disposed Of (D) (Instr. 3, 4 and Securities Form: Direct of Indirect
(Month/Day/Year) if any Code (Instr. 5) Beneficially (D) or Beneficial
(Month/Day/Year) 8) Owned Indirect (I) Ownership
Following (Instr. 4) (Instr. 4)
Reported
Code V Amount (A) or Price Transaction(s)
(D) (Instr. 3 and 4)
Class A Common Stock 10/02/2023 S 3,770(1) D $ 44.16 299,582 D
Class A Common Stock 10/02/2023 S(2) 1,668 D $ 44.58 297,914 D
Class A Common Stock 10/04/2023 S(2) 4,584 D $ 42 293,330 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of 2. 3. Transaction 3A. Deemed 4. 5. 6. Date Exercisable and 7. Title and 8. Price of 9. Number of 10. 11. Nature
Derivative Conversion Date Execution Date, Transaction Number Expiration Date Amount of Derivative derivative Ownership of Indirect
Security or Exercise (Month/Day/Year) if any Code (Instr. of (Month/Day/Year) Securities Security Securities Form: Beneficial
(Instr. 3) Price of (Month/Day/Year) 8) Derivative Underlying (Instr. 5) Beneficially Direct (D) Ownership
Derivative Securities Derivative Owned or Indirect (Instr. 4)
Security Acquired Security Following (I) (Instr. 4)
(A) or (Instr. 3 and 4) Reported
Disposed Transaction(s)
of (D) (Instr. 4)
(Instr. 3, 4
and 5)
Amount
or
Number
Date Expiration of
Code V (A) (D) Exercisable Date Title Shares
Explanation of Responses:
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  1. Represents the number of shares automatically sold to satisfy the Issuer's income tax withholding and remittance obligations in connection with the vesting of restricted stock units.

  2. The sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan, entered into prior to the effectiveness of the revised requirements of Rule 10b5-1(c). In compliance with SEC guidance, the Reporting Person has not checked the box above but states that the Rule 10b5-1 trading plan is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c).

Remarks:

/s/ Susan Szotek, Attorney-inFact

10/04/2023

** 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/1512673/000120919123052117/xslF345X05/doc4.xml

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