Block, Inc. — Director's Dealing 2023

Jun 15, 2023

6/15/23, 2:46 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

Instruction 1(b).	Instruction 1(b).	Instruction 1(b).	Instruction 1(b).	Filed pursuant to Section 16(a) of the Securities Exchange Act of 19 or Section 30(h) of the Investment Company Act of 1940	Filed pursuant to Section 16(a) of the Securities Exchange Act of 19 or Section 30(h) of the Investment Company Act of 1940	Filed pursuant to Section 16(a) of the Securities Exchange Act of 19 or Section 30(h) of the Investment Company Act of 1940	34
1. Name and Address of Reporting Person* Summers Lawrence Henry				2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ]			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	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 Indirect	Beneficial
		(Month/Day/Year)	8)						Owned Following (I) (Instr. 4)		Ownership
									Reported		(Instr. 4)
			Code	V	Amount (A) or (D)		Price		Transaction(s) (Instr. 3 and 4)
Class A Common Stock	06/13/2023		A		3,815 (1)	A	$ 0.00		25,948	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	6. Date Exercisable and	7. Title 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 Security			Owned	or Indirect	(Instr. 4)
	Security					Acquired				(Instr. 3 and 4)			Following	(I) (Instr. 4)
						(A) or							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
Class B										Class A
Common	(2)							(2)	(2)	Common	67,380		67,380	D
Stock (2)										Stock

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. 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-in06/15/2023 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/1512673/000120919123037448/xslF345X04/doc4.xml

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