Block, Inc. — Director's Dealing 2023

Mar 22, 2023

3/22/23, 2:11 PM

SEC FORM 4

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

OMB APPROVAL

Washington, D.C. 20549

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

OMB Number: 3235-0287 Estimated average burden hours per response: 0.5

Instruction 1(b).	Instruction 1(b).		Filed pursuant to Section 16(a) of the Securities Exchange Act of 19 or Section 30(h) of the Investment Company Act of 1940	Filed pursuant to Section 16(a) of the Securities Exchange Act of 19 or Section 30(h) of the Investment Company Act of 1940	Filed pursuant to Section 16(a) of the Securities Exchange Act of 19 or Section 30(h) of the Investment Company Act of 1940	34	34
1. Name and Address of Reporting Esperanza Chrysty (Last) (First)		Person* (Middle)	2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] 3. Date of Earliest Transaction (Month/Day/Year) 03/20/2023			5. Relationship of Reporting Person(s) to Issuer (Check all applicable) Director 10% Owner X Officer (give title below) Other (specify below) Counsel Lead
1955 BROADWAY
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.

1. Name and Address of Reporting Person* Esperanza Chrysty (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) Counsel Lead
						3. Date of Earliest Transaction (Month/Day/Year) 03/20/2023
						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
						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			27,663 (1) (2)		A		$ 0.00			69,817		D
Class A Common Stock				03/20/2023
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)	$ 74.5	03/20/2023			A				46,118		(3)			03/19/2033		Class A Common Stock		46,118							D
																					$ 0.00		46,118

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 will vest on April 20, 2023 and each month thereafter through March 20, 2027.

Remarks:

/s/ Susan Szotek, Attorney-in03/22/2023 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/1512673/000120919123020562/xslF345X04/doc4.xml

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