Block, Inc. — Director's Dealing 2023

Apr 30, 2023

4/28/23, 5:21 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 Person[*]

1. Name and Address of Reporting Person* Grassadonia Brian (Last) (First) 1955 BROADWAY	1. Name and Address of Reporting Person* Grassadonia Brian (Last) (First) 1955 BROADWAY	(Middle)	(Middle)	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 04/26/2023	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 04/26/2023	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 04/26/2023	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)
							X	Form filed by One Reporting Person
(Street) OAKLAND CA		94612						Form filed by More than One Reporting Person
				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	1. Title of	Security (Instr. 3)	Security (Instr. 3)	Security (Instr. 3)	Security (Instr. 3)	2. Transaction	2. Transaction		2A. Deemed		3.		4. Securities Acquired (A) or	4. Securities Acquired (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 5)			Securities		Form: Direct		of	Indirect
						(Month/Day/Year)			if any		Code (Instr.					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		04/26/2023					A		94,714 (1) (2) A $ 0.00			318,310			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. Number of	6. Date Exercisable and				7. Title and Amount	8.	Price of	9. Number	of	10.		11. Nature
Derivative		Conversion			Date	Execution Date,	Transaction		Derivative	Expiration Date				of Securities	Derivative		derivative		Ownership		of Indirect
Security		or Exercise			(Month/Day/Year) if any		Code (Instr.		Securities	(Month/Day/Year)				Underlying	Security		Securities		Form:		Beneficial
(Instr. 3)		Price of				(Month/Day/Year)	8)		Acquired (A)					Derivative Security	(Instr. 5)		Beneficially		Direct (D)		Ownership
		Derivative							or Disposed					(Instr. 3 and 4)			Owned		or Indirect		(Instr. 4)
		Security							of (D) (Instr.								Following		(I) (Instr. 4)
									3, 4 and 5)								Reported
																	Transaction(s)
														Amount			(Instr. 4)
														or
										Date		Expiration		Number
							Code	V	(A) (D)	Exercisable		Date		Title of Shares
Stock Option (right to buy)		$ 60.57			04/26/2023		A		157,901		(3)	04/25/2033		Class A Common Stock 157,901		$ 0.00	157,901		D

Explanation of Responses:

1. Each share is represented by a restricted stock unit (RSU). Each RSU represents a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement.

2. 1/16th of the RSUs will vest on May 20, 2023 and each three months thereafter through February 20, 2027.

3. 1/48th of the shares subject to the Option vested on April 20, 2023 and will vest each month thereafter through March 20, 2027.

Remarks:

/s/ Susan Szotek, Attorney-in04/28/2023 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/1512673/000120919123026164/xslF345X04/doc4.xml

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