Block, Inc. — Director's Dealing 2023

Jun 15, 2023

6/15/23, 3:46 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 Meeker Mary G	1. Name and Address of Reporting Meeker Mary G	1. Name and Address of Reporting Meeker Mary G	Person*	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	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner
	(Last)	(First)	(Middle)	3. Date of Earliest Transaction (Month/Day/Year) 06/13/2023					Officer (give title below) Other (specify below)
	1955 BROADWAY			4. If Amendment, Date		of Original Filed (Month/Day/Year)	6. Individual or Joint/Group Filing (Check Applicable
	SUITE 600						Line)
							X		Form filed by One Reporting Person
(Street)									Form filed by More than One Reporting Person
	OAKLAND	CA	94612
				Rule 10b5-1(c) Transaction Indication
	(City)	(State)	(Zip)	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.

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	2A. Deemed	3.		4. Securities Acquired	4. Securities Acquired	(A) or	(A) or	5. Amount of	5. Amount of	6. Ownership	6. Ownership	7. Nature of
	Date	Execution Date,	Transaction		Disposed Of (D) (Instr.		3,	4	Securities		Form:	Direct	Indirect
	(Month/Day/Year) if any		Code	(Instr.	and 5)				Beneficially		(D) or		Beneficial
		(Month/Day/Year)	8)						Owned		Indirect (I)		Ownership
									Following		(Instr.	4)	(Instr. 4)
			Code	V	Amount	(A) or (D)	Price		Reported Transaction(s) (Instr. 3 and 4)
Class A Common Stock	06/13/2023		A		3,815 (1)	A	$ 0.00		410,482		D
Class A Common Stock									5,817			I	See Footnote (2)

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	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:

1. Represents an automatic annual restricted stock unit (RSU) award issued pursuant to the Issuer's Outside Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock upon settlement. 100% of the RSUs vest on the earlier of June 13, 2024, or the date of the Issuer's next annual meeting of stockholders.

2. The shares are held directly by KPCB sFund Associates, LLC ("sFund Associates"). The reporting person is a member of sFund Associates and may be deemed to share voting and investment power over the securities held by sFund Associates. The reporting person disclaims beneficial ownership over such securities except to the extent of her 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.

Remarks:

/s/ Susan Szotek, Attorney-inFact

06/15/2023

** 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/1512673/000120919123037551/xslF345X04/doc4.xml

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