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Block, Inc. — Major Shareholding Notification 2025
Feb 10, 2025
30034_rns_2025-02-10_c68e91a2-0a4e-46d5-8642-ecefdbac3f1c.pdf
Major Shareholding Notification
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2/10/25, 2:07 PM
SEC FORM 3
SEC Form 3
FORM 3
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
OMB APPROVAL
3235OMB Number: 0104 Estimated average burden hours per 0.5 response:
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
| 1. Name and Address of Reporting Person* Eisen Anthony Mathew (Last) (First) (Middle) 1955 BROADWAY SUITE 600 (Street) OAKLAND CA 94612 (City) (State) (Zip) |
2. Date of Event Requiring Statement (Month/Day/Year) 02/06/2025 |
3. Issuer NameandTicker or Trading Symbol Block, Inc.[ XYZ] |
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| 4. Relationship of Reporting Person(s) to Issuer (Check all applicable) X Director 10% Owner Officer (give title below) Other (specify below) |
5. If Amendment, Date of Original Filed (Month/Day/Year) |
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| 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 Beneficially Owned | |||||||||
| 1. Title of Security (Instr. 4) |
2. Amount of Securities Beneficially Owned (Instr. 4) |
3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
4. Nature of Indirect Beneficial Ownership (Instr. 5) |
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| Class A Common Stock | 2,163,187 | D | |||||||
| Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) |
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| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) |
4. Conversion or Exercise Price of Derivative Security |
5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) |
6. Nature of Indirect Beneficial Ownership (Instr. 5) |
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| Date Exercisable |
Expiration Date |
Title | Amount or Number of Shares |
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| Stock Option (right to buy) | Class A Common Stock |
8,754 | $ 185.8947 | D | |||||
| (1) | 02/21/2025 | ||||||||
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and | 2. Date Exercisable and | 3. Title and Amount of Securities | 3. Title and Amount of Securities | 3. Title and Amount of Securities | 4. | 5. | 6. Nature of | |
|---|---|---|---|---|---|---|---|---|---|
| Expiration Date | Underlying Derivative Security | Conversion | Ownership | Indirect Beneficial | |||||
| (Month/Day/Year) | (Instr. 4) | or Exercise | Form: | Ownership (Instr. | |||||
| Price of | Direct | (D) | 5) | ||||||
| Derivative Amount |
or Indirect | ||||||||
| or | Security | (I) (Instr. 5) | |||||||
| Number | |||||||||
| Date | Expiration | of | |||||||
| Exercisable | Date | Title | Shares | ||||||
| Stock Option (right to buy) | (1) | 02/21/2025 Class |
A Common Stock |
8,754 $ 185.8947 |
D |
Explanation of Responses:
- This option vested in full on July 1, 2023.
Remarks:
- /s/ Susan Szotek, Attorney 02/10/2025 in-Fact ** Signature of Reporting Date Person
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 5 (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.
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