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

1. Name and Address of Reporting Rothstein Sharon	1. Name and Address of Reporting Rothstein Sharon	1. Name and Address of Reporting Rothstein Sharon	1. Name and Address of Reporting Rothstein Sharon	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) 06/13/2022					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)	Security (Instr. 3)	2. Transaction	2. Transaction	2A. Deemed	2A. Deemed		3.		4. Securities Acquired	4. Securities Acquired	(A) or	(A) or	5. Amount of	5. Amount of	5. Amount of	6. Ownership	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)
								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		8,641				D
Class A Common Stock														1,256				D (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			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. Represents ownership of CHESS Depositary Interests ("CDIs"), each representing an ownership interest in a share of Class A common stock of the Issuer.

Remarks:

/s/ Susan Szotek, Attorney-inFact ** Signature of Reporting Person Date

06/15/2023

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/1512673/000120919123037443/xslF345X04/doc4.xml

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