Block, Inc. — Director's Dealing 2023

Apr 30, 2023

4/28/23, 5:20 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 Person* Henry Alyssa (Last) (First) 1955 BROADWAY	1. Name and Address of Reporting Person* Henry Alyssa (Last) (First) 1955 BROADWAY	1. Name and Address of Reporting Person* Henry Alyssa (Last) (First) 1955 BROADWAY	1. Name and Address of Reporting Person* Henry Alyssa (Last) (First) 1955 BROADWAY	(Middle) 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 04/26/2023	(Middle) 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 04/26/2023	(Middle) 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 04/26/2023	(Middle) 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) Square Lead	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Square Lead	5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Square 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)
						X 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. Name and Address of Reporting Person* Henry Alyssa (Last) (First) (Middle) 1955 BROADWAY SUITE 600 (Street) OAKLAND CA 94612 (City) (State) (Zip)						2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ]										5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Square Lead
						3. Date of Earliest Transaction (Month/Day/Year) 04/26/2023
						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 Form filed by More than One Reporting Person
						Rule 10b5-1(c) Transaction Indication X 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)				2. Transaction Date (Month/Day/Year)				2A. Deemed Execution Date, if any (Month/Day/Year)		3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)						5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)		6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)		7. Nature of Indirect Beneficial Ownership (Instr. 4)
										Code	V	Amount		(A) or (D)	Price
										A		75,118 (1) (2)		A	$ 0.00			488,278		D
Class A Common Stock				04/26/2023
Class A Common Stock				04/26/2023						C (3)		30,769		A	$ 0.00			519,047		D
Class A Common Stock				04/26/2023						S (4)		17,246		D	$ 61.05 (5)			501,801		D
Class A Common Stock				04/26/2023						S (4)		13,523		D	$ 61.55 (6)			488,278		D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)		4. Transaction Code (Instr. 8)			5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)			7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)				8. Price of Derivative Security (Instr. 5)		9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)		10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)		11. Nature of Indirect Beneficial Ownership (Instr. 4)
					Code		V	(A)	(D)	Date Exercisable		Expiration Date	Title		Amount or Number of Shares
Stock Option (right to buy)	$ 60.57	04/26/2023			A			125,232		(7)		04/25/2033	Class A Common Stock								D
															125,232		$ 0.00		125,232
Stock Option (right to buy)	$ 7.254												Class B								D
		04/26/2023			M (4)				30,769	(8)		05/14/2024	Common		30,769		$ 0.00		30,769
													Stock (9)
Class B Common Stock (9)	(9)	04/26/2023			M			30,769		(9)		(9)	Class A Common Stock		30,769						D
																	$ 0.00		30,769
Class B Common	(9)	04/26/2023			C (3)								Class A								D
									30,769	(9)		(9)	Common		30,769		$ 0.00		0
Stock (9)													Stock

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. Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.

4. The option exercise and sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted February 28, 2022.

5. The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $60.35 to $61.34 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

6. The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $61.35 to $61.75 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.

https://www.sec.gov/Archives/edgar/data/1512673/000120919123026163/xslF345X04/doc4.xml

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4/28/23, 5:20 PM

SEC FORM 4

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

2. 25% of the shares subject to the option vested on May 12, 2015 and 1/48th of the shares vested monthly thereafter.

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.

Remarks:

/s/ Susan Szotek, Attorney-in- Fact ** Signature of Reporting Person
	04/28/2023
	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/1512673/000120919123026163/xslF345X04/doc4.xml

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