Block, Inc. — Director's Dealing 2023

Jun 15, 2023

6/15/23, 2:45 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	Check this box if no longer subject to Section 16. Form 4 or Form 5	Check this box if no longer subject to Section 16. Form 4 or Form 5	STAT	EMENT OF CHA	GES IN BENEFICIAL OWN	RS	IP hours per response:	0.5
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* McKelvey James Morgan Jr.				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	Table I - Non-Derivative Securities	Table I - Non-Derivative Securities	Table I - Non-Derivative Securities	Table I - Non-Derivative Securities	Table I - Non-Derivative Securities	Acquired,	Acquired,	Disposed of, or Beneficially Owned	Disposed of, or Beneficially Owned	Disposed of, or Beneficially Owned	Disposed of, or Beneficially Owned	Disposed of, or Beneficially Owned	Disposed of, or Beneficially Owned	Disposed of, or Beneficially Owned	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 of
				Date			Execution Date,			Transaction		Disposed Of (D) (Instr. 3, 4				and	Securities			Form:	Direct		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		9,838				D
Class A Common Stock																	125,000				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	7. Title and Amount of				8. Price of		9. Number of		10.			11.	Nature
Derivative		Conversion	Date	Execution Date,	Transaction			Number	Expiration Date				Securities Underlying				Derivative		derivative		Ownership			of Indirect
Security		or Exercise	(Month/Day/Year)	if any	Code (Instr.			of	(Month/Day/Year)				Derivative Security				Security		Securities		Form:			Beneficial
(Instr. 3)		Price of		(Month/Day/Year)	8)			Derivative					(Instr. 3		and 4)		(Instr. 5)		Beneficially		Direct (D)			Ownership
		Derivative						Securities											Owned		or Indirect			(Instr. 4)
		Security						Acquired											Following		(I) (Instr. 4)
								(A) or											Reported
								Disposed											Transaction(s)
								of (D)											(Instr. 4)
								(Instr. 3, 4
								and 5)
															Amount	or
									Date		Expiration				Number	of
					Code	V		(A) (D)	Exercisable		Date		Title		Shares
Class B Common Stock (3)		(3)								(3)	(3)		Class A Common Stock 12,259,025						12,259,025		I			See Footnote (4)

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 by the Anna Elefteria Ntenta Trust, dated 11/30/2017, for the benefit of the Reporting Person's spouse.

3. 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.

4. The shares are held of record by the James McKelvey, Jr. Revocable Trust dated July 2, 2014, for which the Reporting Person serves as a Trustee.

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/1512673/000120919123037430/xslF345X04/doc4.xml

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