Block, Inc. — Director's Dealing 2023

Jul 13, 2023

7/13/23, 2:58 PM

SEC FORM 4

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

OMB APPROVAL

Washington, D.C. 20549

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

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).

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[*]

1. Name and Address of Reporting Person* Esperanza Chrysty (Last) (First)	1. Name and Address of Reporting Person* Esperanza Chrysty (Last) (First)	(Middle) 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 07/11/2023	(Middle) 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 07/11/2023	(Middle) 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 07/11/2023	(Middle) 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 07/11/2023	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Counsel Lead
1955 BROADWAY
SUITE 600			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
(Street) OAKLAND CA		94612				Form filed by More than One Reporting Person
			Rule 10b5-1(c) Transaction Indication
(City) (State)		(Zip)
				X 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.

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1. Name and Address of Reporting Person* Esperanza Chrysty (Last) (First) (Middle) 1955 BROADWAY SUITE 600 (Street) OAKLAND CA 94612 (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) Counsel Lead
						3. Date of Earliest Transaction (Month/Day/Year) 07/11/2023
						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
						Rule 10b5-1(c) Transaction Indication X 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.
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				07/11/2023							C (1)			3,150		A		$ 0.00			71,122		D
Class A Common Stock				07/11/2023							S (2)			3,150		D		$ 70			67,972		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)	$ 3.663														Class B									D
		07/11/2023			M (2)					3,150	(3)		10/30/2023		Common		3,150			$ 0.00		0
															Stock (4)
Class B Common	(4)	07/11/2023			M				3,150		(4)		(4)		Class A Common Stock		3,150							D
																				$ 0.00		3,150
Stock (4)
Class B Common	(4)	07/11/2023			C (1)										Class A									D
										3,150	(4)		(4)		Common		3,150			$ 0.00		0
Stock (4)															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. The option exercise and sale reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted February 28, 2023.

3. 25% of the shares subject to the option vested on October 7, 2014 and 1/48th of the shares vested monthly thereafter.

4. 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-in07/13/2023 Fact ** 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/1512673/000120919123042240/xslF345X04/doc4.xml

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