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Block, Inc. Director's Dealing 2023

Apr 5, 2023

30034_rns_2023-04-05_20453511-7ff5-4723-8b6f-70fd1155c4af.pdf

Director's Dealing

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4/5/23, 2:36 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
Henry Alyssa
(Last)
(First)
1955 BROADWAY
1. Name and Address of Reporting
Henry Alyssa
(Last)
(First)
1955 BROADWAY
1. Name and Address of Reporting
Henry Alyssa
(Last)
(First)
1955 BROADWAY
1. Name and Address of Reporting
Henry Alyssa
(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)
04/03/2023
2. Issuer NameandTicker or Trading Symbol
Block, Inc. [
SQ]
3. Date of Earliest Transaction (Month/Day/Year)
04/03/2023
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
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 Security (Instr. 3) Security (Instr. 3) 2. Transaction 2. Transaction 2A. Deemed 2A. Deemed 3. 4. Securities Acquired 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 Securities Form: Direct of Indirect
(Month/Day/Year) if any Code (Instr. and 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 04/03/2023 S 5,507
(1)
D
$ 67 413,160 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:

  1. 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 and restricted stock units.

Remarks:

/s/ Susan Szotek, Attorney-in04/05/2023 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/1512673/000120919123023416/xslF345X04/doc4.xml

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