0001209191-22-049344.txt : 20220909
0001209191-22-049344.hdr.sgml : 20220909
20220909170528
ACCESSION NUMBER: 0001209191-22-049344
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220907
FILED AS OF DATE: 20220909
DATE AS OF CHANGE: 20220909
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Henry Alyssa
CENTRAL INDEX KEY: 0001658470
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37622
FILM NUMBER: 221236798
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
2022-09-07
0
0001512673
Block, Inc.
SQ
0001658470
Henry Alyssa
1455 MARKET STREET
SUITE 600
SAN FRANCISCO
CA
94103
0
1
0
0
Square Lead
Class A Common Stock
2022-09-07
4
C
0
30769
0.00
A
458827
D
Class A Common Stock
2022-09-07
4
S
0
24491
65.63
D
434336
D
Class A Common Stock
2022-09-07
4
S
0
6278
66.43
D
428058
D
Stock Option (right to buy)
7.254
2022-09-07
4
M
0
30769
0.00
D
2024-05-14
Class B Common Stock
30769
1046146
D
Class B Common Stock
2022-09-07
4
M
0
30769
0.00
A
Class A Common Stock
30769
30769
D
Class B Common Stock
2022-09-07
4
C
0
30769
0.00
D
Class A Common Stock
30769
0
D
Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.
The option exercise and sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $65.11 to $66.09 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $66.25 to $66.63 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
25% of the shares subject to the option vested on May 12, 2015 and 1/48th of the shares vested monthly thereafter.
Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.
/s/ Susan Szotek, Attorney-in-Fact
2022-09-09