0001628280-24-009489.txt : 20240306 0001628280-24-009489.hdr.sgml : 20240306 20240306180430 ACCESSION NUMBER: 0001628280-24-009489 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240304 FILED AS OF DATE: 20240306 DATE AS OF CHANGE: 20240306 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: 24727418 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_1709766261.xml FORM 4 X0508 4 2024-03-04 0 0001512673 Block, Inc. SQ 0001803649 Grassadonia Brian 1955 BROADWAY SUITE 600 OAKLAND CA 94612 0 1 0 0 Cash App Lead 1 Class A Common Stock 2024-03-04 4 C 0 153332 0 A 555893 D Class A Common Stock 2024-03-04 4 S 0 111914 78.17 D 443979 D Stock Option (right to buy) 13.94 2024-03-04 4 M 0 153332 0 D 2025-06-16 Class B Common Stock 153332 306668 D Class B Common Stock 2024-03-04 4 M 0 153332 0 A Class A Common Stock 153332 153332 D Class B Common Stock 2024-03-04 4 C 0 153332 0 D Class A Common Stock 153332 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 on November 29, 2023. 20% of the shares subject to the option vested on June 1, 2016 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 2024-03-06