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