0001628280-24-006476.txt : 20240222 0001628280-24-006476.hdr.sgml : 20240222 20240222190653 ACCESSION NUMBER: 0001628280-24-006476 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240220 FILED AS OF DATE: 20240222 DATE AS OF CHANGE: 20240222 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Grassadonia Brian CENTRAL INDEX KEY: 0001803649 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-37622 FILM NUMBER: 24666751 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] 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_1708646801.xml FORM 4 X0508 4 2024-02-20 0 0001512673 Block, Inc. SQ 0001803649 Grassadonia Brian 1955 BROADWAY SUITE 600 OAKLAND CA 94612 0 1 0 0 Cash App Lead 0 Class A Common Stock 2024-02-20 4 C 0 252816 0 A 533024 D Class A Common Stock 2024-02-20 4 S 0 127800 65.45 D 405224 D Class A Common Stock 2024-02-21 4 S 0 2663 64.31 D 402561 D Stock Option (right to buy) 7.254 2024-02-20 4 M 0 252816 0 D 2024-02-27 Class B Common Stock 252816 0 D Class B Common Stock 2024-02-20 4 M 0 252816 0 A Class A Common Stock 252816 252816 D Class B Common Stock 2024-02-20 4 C 0 252816 0 D Class A Common Stock 252816 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, entered into prior to the effectiveness of the revised requirements of Rule 10b5-1(c). In compliance with SEC guidance, the Reporting Person has not checked the box above but states that the Rule 10b5-1 trading plan is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). Represents the number of shares automatically sold to satisfy the Issuer's income tax withholding and remittance obligations in connection with the vesting of restricted stock units. 20% of the shares subject to the option vested on February 24, 2015 and 1/60th 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 2024-02-22