SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Jennings Owen Britton

(Last) (First) (Middle)
1955 BROADWAY
SUITE 600

(Street)
OAKLAND CA 94612

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
12/20/2024
3. Issuer Name and Ticker or Trading Symbol
Block, Inc. [ SQ ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Business Lead
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Class A Common Stock 198,285(1)(2)(3)(4)(5)(6)(7) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (right to buy) (8) 04/20/2030 Class A Common Stock 11,368 $57.4 D
Stock Option (right to buy) (8) 04/20/2030 Class A Common Stock 10,312 $57.4 D
Explanation of Responses:
1. Represents 1,880 shares of the Issuer's Class A Common Stock owned and 196,405 shares represented by unvested Restricted Stock Units (RSUs).
2. 945 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 7,558 RSUs, 1/16 of the RSUs vested on July 1, 2021 and 1/16 of the total RSUs vest every three months thereafter.
3. 14,186 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 37,828 RSUs, 1/16 of the RSUs vested on July 1, 2022 and 1/16 of the total RSUs vest every three months thereafter.
4. 26,818 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 61,297 RSUs, 1/16 of the RSUs vested on November 20, 2022 and 1/16 of the total RSUs vest every three months thereafter.
5. 33,069 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 58,788 RSUs, 1/16 of the RSUs vested on May 20, 2023 and 1/16 of the total RSUs vest every three months thereafter.
6. 70,610 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 86,903 RSUs, 1/16 of the RSUs vested on May 20, 2024 and 1/16 of the total RSUs vest every three months thereafter.
7. 50,777 of the RSUs represent a contingent right to receive one share of the Issuer's Class A Common Stock upon settlement. Of the original grant of an aggregate of 54,162 RSUs, 1/16 of the RSUs vested on November 20, 2024 and 1/16 of the total RSUs vest every three months thereafter.
8. All of the shares subject to this option are fully vested and exercisable as of the date hereof.
Remarks:
/s/ Susan Szotek, Attorney-in-Fact 12/27/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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