0001209191-22-006495.txt : 20220202
0001209191-22-006495.hdr.sgml : 20220202
20220202174003
ACCESSION NUMBER: 0001209191-22-006495
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220131
FILED AS OF DATE: 20220202
DATE AS OF CHANGE: 20220202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Rothstein Sharon
CENTRAL INDEX KEY: 0001769134
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37622
FILM NUMBER: 22585068
MAIL ADDRESS:
STREET 1: C/O YELP INC.
STREET 2: 140 NEW MONTGOMERY ST, 9TH FLOOR
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94105
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Block, Inc.
CENTRAL INDEX KEY: 0001512673
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
IRS NUMBER: 800429876
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1455 MARKET STREET
STREET 2: SUITE 600
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
BUSINESS PHONE: 415-375-3176
MAIL ADDRESS:
STREET 1: 1455 MARKET STREET
STREET 2: SUITE 600
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
FORMER COMPANY:
FORMER CONFORMED NAME: Square, Inc.
DATE OF NAME CHANGE: 20110210
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2022-01-31
0
0001512673
Block, Inc.
SQ
0001769134
Rothstein Sharon
1455 MARKET STREET
SUITE 600
SAN FRANCISCO
CA
94103
1
0
0
0
Class A Common Stock
2022-01-31
4
A
0
681
0.00
A
681
D
Class A Common Stock
1256
D
Represents an automatic restricted stock unit (RSU) award issued pursuant to the Issuer's Outside Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock upon settlement. 100% of the RSUs vest on the earlier of January 31, 2023, or the date of the Issuer's next annual meeting of stockholders.
Represents ownership of CHESS Depositary Interests ("CDIs"), each representing an ownership interest in a share of Class A common stock of the Issuer.
/s/ Susan Szotek, Attorney-in-Fact
2022-02-02