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Block, Inc. — Director's Dealing 2025
Jun 3, 2025
30034_rns_2025-06-03_a745fb63-1115-4ace-bc15-7c3a8fd43a88.pdf
Director's Dealing
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6/3/25, 2:09 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
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 10b5-1(c). See Instruction 10.
| the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10. |
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| 1. Name and Address of Reporting Person* Dorsey Jack (Last) (First) (Middle) 1955 BROADWAY SUITE 600 (Street) OAKLAND CA 94612 (City) (State) (Zip) |
2. Issuer NameandTicker or Trading Symbol Block, Inc. [ XYZ] |
5. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director X 10% Owner X Officer (give title below) Other (specify below) Block Head and Chairperson |
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| 3. Date of Earliest Transaction (Month/Day/Year) 05/30/2025 |
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| 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 |
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| 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) |
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| Code | V | Amount | (A) or (D) |
Price | ||||||||||||||||||||||
| G | 2,391 | D | $ 0 | 0 | I | See Footnote (1) (2) (3) |
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| Class A Common Stock | 05/30/2025 | |||||||||||||||||||||||||
| G | 2,391 | A | $ 0 | 2,391 | I | See Footnote (4) |
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| Class A Common Stock | 05/30/2025 | |||||||||||||||||||||||||
| Class A Common Stock | 287,155 | I | See Footnote (1) (2) (5) |
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| Class A Common Stock | 710,454 | I | See Footnote (1) (2) (6) |
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| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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| 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) |
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| Code | V | (A) | (D) | Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
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| Class B Common Stock (7) |
(7) | (7) | (7) | Class A Common Stock |
35,763,992 | I | See Footnote (8) |
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| 35,763,992 | ||||||||||||||||||||||||||
| Class B Common |
(7) | (7) | (7) | Class A Common Stock |
12,080,574 | I | See Footnote (9) |
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| 12,080,574 | ||||||||||||||||||||||||||
| Stock (7) |
Explanation of Responses:
- Since the date of the Reporting Person's last Form 4 filing, a total of 1,000,000 shares of Class A Common Stock previously held of record by the Jack Dorsey 2022 Annuity Trust, a grantor retained annuity trust for which the Reporting Person served as Co-Trustee (the "2022 Trust"), were transferred to and/or among (i) the Jack Dorsey Revocable Trust u/a/d 12/8/10, for which the Reporting Person serves as a Trustee (the "2010 Trust"), (ii) the Jack Dorsey and A7P Trust Company Inc Tr UA 05/26/2023, for which the Reporting Person serves as Trustee (the "2023 Trust"), (iii) the Jack Dorsey and A7P Trust Company Inc Tr UA 05/28/2024, for which the Reporting Person serves as Trustee (the "2024 Trust"), and (iv) the Jack Dorsey and A7P Trust Company Inc as Co-Trustees, Dated May 28, 2025, for which the Reporting Person serves as Trustee (the "2025 Trust") (continued at footnote 2 below).
https://www.sec.gov/Archives/edgar/data/1512673/000162828025029124/xslF345X05/wk-form4_1748984845.xml
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6/3/25, 2:09 PM
SEC FORM 4
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None of such transfers resulted in a change in beneficial ownership. In addition, a portion of such shares were transferred from the 2023 Trust to a trust in which the Reporting Person may be deemed to have a pecuniary interest. Following the transfers described in footnotes 1 and 2, no shares were held by the 2022 Trust or the 2023 Trust.
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The shares are held of record by the 2023 Trust.
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The shares are held of record by a trust in which the Reporting Person may be deemed to have a pecuniary interest. The Reporting Person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein.
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The shares are held of record by the 2024 Trust.
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The shares are held of record by the 2025 Trust.
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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.
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The shares are held of record by the 2010 Trust.
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The shares are held of record by Start Small, LLC, for which the Reporting Person is the sole member.
Remarks:
| /s/ Susan Szotek, Attorney-in- Fact ** Signature of Reporting Person |
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| 06/03/2025 | |
| 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).
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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/1512673/000162828025029124/xslF345X05/wk-form4_1748984845.xml
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