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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]
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)
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 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)
Class A Common Stock 2,163,187 D
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
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)
Date
Exercisable
Expiration
Date
Title Amount
or
Number
of
Shares
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:

  1. 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.

  • If the form is filed by more than one reporting person, see Instruction 5 (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.

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