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Block, Inc. — Director's Dealing 2023
May 24, 2023
30034_rns_2023-05-24_7b8219ae-7178-441e-80a1-a6bdd1cdd30f.pdf
Director's Dealing
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5/24/23, 2:06 PM
SEC FORM 4
SEC Form 4
FORM 4
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
OMB APPROVAL
Washington, D.C. 20549
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
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 Ahuja Amrita (Last) (First) |
1. Name and Address of Reporting Ahuja Amrita (Last) (First) |
1. Name and Address of Reporting Ahuja Amrita (Last) (First) |
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) CFO & COO |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) CFO & COO |
|---|---|---|---|---|---|---|---|
| 1955 BROADWAY | |||||||
| 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 (A) or | 4. Securities Acquired (A) or | 4. Securities Acquired (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 | 05/22/2023 | S | 3,369 (1) D $ 59.61 |
238,091 | 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 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).
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/1512673/000120919123031906/xslF345X04/doc4.xml
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