AI assistant
Block, Inc. — Director's Dealing 2024
Apr 3, 2024
30034_rns_2024-04-03_eee109e3-78ea-4865-bde4-18cacab614b6.pdf
Director's Dealing
Open in viewerOpens in your device viewer
4/3/24, 2:37 PM
SEC FORM 4
SEC Form 4
FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
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 APPROVAL
OMB Number: 3235-0287 Estimated average burden hours per response: 0.5
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b51(c). See Instruction 10.
| 1. Name and Address of Reporting Carter Shawn Corey |
1. Name and Address of Reporting Carter Shawn Corey |
Person* | 2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ SQ] |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner |
|---|---|---|---|---|---|---|---|---|---|---|
| Officer (give title | Other (specify | |||||||||
| (Last) | (First) | (Middle) | 3. Date of Earliest 04/01/2024 |
Transaction (Month/Day/Year) | below) | below) | ||||
| 1955 BROADWAY | ||||||||||
| SUITE 600 | ||||||||||
| 4. If Amendment, Date | of Original Filed (Month/Day/Year) | 6. Individual or Joint/Group Filing (Check Applicable | ||||||||
| Line) | ||||||||||
| (Street) | X | Form filed by One Reporting Person | ||||||||
| OAKLAND | CA | 94612 | Form filed by More than One Reporting | |||||||
| Person | ||||||||||
| (City) | (State) | (Zip) |
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
| 1. Name and Address of Reporting Person* Carter Shawn Corey (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) X Director 10% Owner Officer (give title below) Other (specify below) |
||||||||||||||||||||||
| 3. Date of Earliest Transaction (Month/Day/Year) 04/01/2024 |
||||||||||||||||||||||||
| 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 |
|||||||||||||||||||||||
| 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 | ||||||||||||||||||||
| Class A Common Stock | 04/01/2024 | A | 118 (1) |
A | $ 0 | 19,119 | D | |||||||||||||||||
| Class A Common Stock | 1,779 | I | By immediate family member (2) |
|||||||||||||||||||||
| Class A Common Stock | 20,812 | I | See Footnote (3) |
|||||||||||||||||||||
| Class A Common Stock | 296 | I | See Footnote (4) |
|||||||||||||||||||||
| 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 |
|||||||||||||||||
Explanation of Responses:
-
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. The RSUs were issued pursuant to the Issuer's Outside Director Compensation Policy, and 100% of the RSUs were vested as of the date of grant.
-
The shares are held of record by an immediate family member of the Reporting Person.
-
The shares are held of record by SC Panther, LLC, for which the Reporting Person serves as the sole member.
-
The shares are held of record by SC Vessel 5, LLC, for which the Reporting Person serves as the sole member.
Remarks:
https://www.sec.gov/Archives/edgar/data/1512673/000162828024014696/xslF345X05/wk-form4_1712180153.xml
1/2
4/3/24, 2:37 PM
SEC FORM 4
/s/ Susan Szotek, Attorney-inFact
04/03/2024 Date
** Signature of Reporting Person
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/1512673/000162828024014696/xslF345X05/wk-form4_1712180153.xml
2/2