0001209191-23-042240.txt : 20230713
0001209191-23-042240.hdr.sgml : 20230713
20230713175658
ACCESSION NUMBER: 0001209191-23-042240
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230711
FILED AS OF DATE: 20230713
DATE AS OF CHANGE: 20230713
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Esperanza Chrysty
CENTRAL INDEX KEY: 0001965569
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37622
FILM NUMBER: 231087621
MAIL ADDRESS:
STREET 1: 1955 BROADWAY
STREET 2: SUITE 600
CITY: OAKLAND
STATE: CA
ZIP: 94612
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
X0407
4
2023-07-11
0
0001512673
Block, Inc.
SQ
0001965569
Esperanza Chrysty
1955 BROADWAY
SUITE 600
OAKLAND
CA
94612
0
1
0
0
Counsel Lead
1
Class A Common Stock
2023-07-11
4
C
0
3150
0.00
A
71122
D
Class A Common Stock
2023-07-11
4
S
0
3150
70.00
D
67972
D
Stock Option (right to buy)
3.663
2023-07-11
4
M
0
3150
0.00
D
2023-10-30
Class B Common Stock
3150
0
D
Class B Common Stock
2023-07-11
4
M
0
3150
0.00
A
Class A Common Stock
3150
3150
D
Class B Common Stock
2023-07-11
4
C
0
3150
0.00
D
Class A Common Stock
3150
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 sale reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted February 28, 2023.
25% of the shares subject to the option vested on October 7, 2014 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
2023-07-13