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Block, Inc. — Director's Dealing 2023
Jun 15, 2023
30034_rns_2023-06-15_833d937c-4f71-4c87-9338-1855595e4224.pdf
Director's Dealing
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6/15/23, 2:44 PM
SEC FORM 4
SEC Form 4
OMB Number: 3235-0287 Estimated average burden hours per response: 0.5
FORM 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
OMB APPROVAL
Washington, D.C. 20549
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 Deighton Paul |
1. Name and Address of Reporting Deighton Paul |
1. Name and Address of Reporting Deighton Paul |
1. Name and Address of Reporting Deighton Paul |
1. Name and Address of Reporting Deighton Paul |
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) |
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| 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 |
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| 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 | 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 | 39,242 | 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 | 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:
- 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.
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/1512673/000120919123037423/xslF345X04/doc4.xml
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