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*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/20/2024 |
3. Issuer Name and Ticker or Trading Symbol
Block, Inc. [ SQ ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Beneficially Owned | |||
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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) | |||||||
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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). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |