0001209191-22-027160.txt : 20220504
0001209191-22-027160.hdr.sgml : 20220504
20220504171323
ACCESSION NUMBER: 0001209191-22-027160
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220419
FILED AS OF DATE: 20220504
DATE AS OF CHANGE: 20220504
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ahuja Amrita
CENTRAL INDEX KEY: 0001765417
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37622
FILM NUMBER: 22892577
MAIL ADDRESS:
STREET 1: 1455 MARKET STREET
STREET 2: SUITE 600
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94103
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
2022-04-19
0
0001512673
Block, Inc.
SQ
0001765417
Ahuja Amrita
1455 MARKET STREET
SUITE 600
SAN FRANCISCO
CA
94103
0
1
0
0
Chief Financial Officer
Class A Common Stock
2022-04-19
4
A
0
42031
0.00
A
163492
D
Stock Option (right to buy)
125.62
2022-04-19
4
A
0
84061
0.00
A
2032-04-18
Class A Common Stock
84061
84061
D
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.
1/16th of the RSUs will vest on July 1, 2022, and each three months thereafter through April 1, 2026.
1/48th of the shares subject to the Option will vest on May 1, 2022 and each month thereafter through April 1, 2026.
/s/ Susan Szotek, Attorney-in-Fact
2022-05-04