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Block, Inc. — Director's Dealing 2023
Apr 2, 2023
30034_rns_2023-04-02_3eb84aa7-ff7a-4e6d-8268-220358c40a4a.pdf
Director's Dealing
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3/31/23, 2:20 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) 03/29/2023 |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 03/29/2023 |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 03/29/2023 |
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) |
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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) |
| (City) (State) |
(Zip) |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 2A. Deemed | 3. | 4. Securities Acquired | (A) or | 5. Amount of | 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) |
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| Class A Common Stock | 03/29/2023 | C (1) |
30,769 | A | $ 0.00 | 449,436 | D | |||||||
| Class A Common Stock | 03/29/2023 | S (2) |
10,192 | D | $ 65.05 (3) |
439,244 | D | |||||||
| Class A Common Stock | 03/29/2023 | S (2) |
20,013 | D | $ 66.03 (4) |
419,231 | D | |||||||
| Class A Common Stock | 03/29/2023 | S (2) |
564 | D | $ 66.68 (5) |
418,667 | D |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
| 1. Title of | 1. Title of | 2. | 3. Transaction 3A. Deemed |
3. Transaction 3A. Deemed |
3. Transaction 3A. Deemed |
4. | 5. Number of | 5. Number of | 6. Date Exercisable and | 6. Date Exercisable and | 6. Date Exercisable and | 7. Title and | 8. Price of 9. Number of |
8. Price of 9. Number of |
8. Price of 9. Number of |
10. | 11. Nature | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Derivative | Conversion | Date | Execution Date, | Transaction | Derivative | Expiration Date | Amount of | Derivative derivative |
Ownership | of Indirect | |||||||||
| Security | or Exercise | (Month/Day/Year) if any |
Code | (Instr. | Securities | (Month/Day/Year) | Securities | Security Securities |
Form: | Beneficial | |||||||||
| (Instr. 3) | Price of | (Month/Day/Year) | 8) | Acquired (A) | Underlying | (Instr. 5) Beneficially |
Direct (D) | Ownership | |||||||||||
| Derivative | or Disposed of | Derivative Security | Owned | or Indirect | (Instr. 4) | ||||||||||||||
| Security | (D) (Instr. 3, 4 | (Instr. 3 and 4) | Following | (I) (Instr. 4) | |||||||||||||||
| and 5) | Reported | ||||||||||||||||||
| Transaction(s) | |||||||||||||||||||
| Amount | (Instr. 4) | ||||||||||||||||||
| or | |||||||||||||||||||
| Number | |||||||||||||||||||
| Date | Expiration | of | |||||||||||||||||
| Code | V | (A) | (D) | Exercisable | Date | Title | Shares | ||||||||||||
| Stock Option (right to buy) |
$ 7.254 | 03/29/2023 | M (2) |
30,769 | (6) | 05/14/2024 | Class B Common Stock (7) |
30,769 | $ 0.00 153,845 |
D | |||||||||
| Class | B | Class A | |||||||||||||||||
| Common | (7) | 03/29/2023 | M | 30,769 | (7) | (7) | Common | 30,769 | $ 0.00 30,769 |
D | |||||||||
| Stock (7) |
Stock | ||||||||||||||||||
| Class | B | Class A | |||||||||||||||||
| Common | (7) | 03/29/2023 | C (1) |
30,769 | (7) | (7) | Common | 30,769 | $ 0.00 0 |
D | |||||||||
| Stock (7) |
Stock |
Explanation of Responses:
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Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.
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The option exercise and sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
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The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $64.60 to $65.58 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.
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The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $65.60 to $66.58 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.
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The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $66.60 to $66.74 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.
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25% of the shares subject to the option vested on May 12, 2015 and 1/48th of the shares vested monthly thereafter.
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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.
https://www.sec.gov/Archives/edgar/data/1512673/000120919123021900/xslF345X04/doc4.xml
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3/31/23, 2:20 PM Remarks:
SEC FORM 4
| /s/ Susan Szotek, Attorney-in- Fact ** Signature of Reporting Person |
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|---|---|
| 03/31/2023 | |
| 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/1512673/000120919123021900/xslF345X04/doc4.xml
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