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Block, Inc. — Director's Dealing 2023
May 24, 2023
30034_rns_2023-05-24_19c62267-e5dd-42dc-8b5b-e6b9c9a73891.pdf
Director's Dealing
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5/24/23, 2:07 PM
SEC FORM 4
SEC Form 4
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
OMB Number: 3235-0287 Estimated average burden hours per response: 0.5
| 1. Name and Address of Reporting Grassadonia Brian (Last) (First) 1955 BROADWAY |
1. Name and Address of Reporting Grassadonia Brian (Last) (First) 1955 BROADWAY |
1. Name and Address of Reporting Grassadonia Brian (Last) (First) 1955 BROADWAY |
1. Name and Address of Reporting Grassadonia Brian (Last) (First) 1955 BROADWAY |
Person* (Middle) |
Person* (Middle) |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 05/22/2023 |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 05/22/2023 |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Cash App Lead |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Cash App Lead |
|---|---|---|---|---|---|---|---|---|---|
| SUITE 600 | 4. If Amendment, Date | of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable Line) |
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| X | Form filed by One Reporting Person | ||||||||
| (Street) OAKLAND |
CA | 94612 | Form filed by More than One Reporting Person |
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| 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.
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 | 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 | 05/15/2023 | A | V | 341 (1) |
A | $ 48.34 | 318,651 | D | |||||||||||
| Class A Common Stock | 05/22/2023 | S | 2,650 (2) D |
$ 59.61 | 316,001 | 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:
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These shares were acquired under the Issuer's Employee Stock Purchase Plan in a transaction that was exempt under both Rule 16b-3(d) and Rule 16b-3(c).
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Represents the number of shares automatically sold to satisfy the Issuer's income tax withholding and remittance obligations in connection with the vesting of restricted stock units. Remarks:
/s/ Susan Szotek, Attorney-in05/24/2023 Fact
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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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/1512673/000120919123031911/xslF345X04/doc4.xml
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