0001628280-24-029391.txt : 20240621
0001628280-24-029391.hdr.sgml : 20240621
20240621180126
ACCESSION NUMBER: 0001628280-24-029391
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240618
FILED AS OF DATE: 20240621
DATE AS OF CHANGE: 20240621
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Meeker Mary G
CENTRAL INDEX KEY: 0001544567
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-37622
FILM NUMBER: 241061596
MAIL ADDRESS:
STREET 1: 2750 SAND HILL ROAD
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Block, Inc.
CENTRAL INDEX KEY: 0001512673
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
ORGANIZATION NAME: 06 Technology
IRS NUMBER: 800429876
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1955 BROADWAY
STREET 2: SUITE 600
CITY: OAKLAND
STATE: CA
ZIP: 94612
BUSINESS PHONE: 415-375-3176
MAIL ADDRESS:
STREET 1: 1955 BROADWAY
STREET 2: SUITE 600
CITY: OAKLAND
STATE: CA
ZIP: 94612
FORMER COMPANY:
FORMER CONFORMED NAME: Square, Inc.
DATE OF NAME CHANGE: 20110210
4
1
wk-form4_1719007279.xml
FORM 4
X0508
4
2024-06-18
0
0001512673
Block, Inc.
SQ
0001544567
Meeker Mary G
1955 BROADWAY
SUITE 600
OAKLAND
CA
94612
1
0
0
0
0
Class A Common Stock
2024-06-18
4
A
0
4038
0
A
415375
D
Class A Common Stock
5817
I
See Footnote
Represents an automatic annual 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 June 18, 2025, or the date of the Issuer's next annual meeting of stockholders.
The shares are held directly by KPCB sFund Associates, LLC ("sFund Associates"). The reporting person is a member of sFund Associates and may be deemed to share voting and investment power over the securities held by sFund Associates. The reporting person disclaims beneficial ownership over such securities except to the extent of her pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
/s/ Susan Szotek, Attorney-in-Fact
2024-06-21