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*
Prasanna Dhananjay
(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)
Technology + Engineering 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 192,858(1)(2)(3)(4)(5) 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) (6) 04/23/2034 Class A Common Stock 65,085 $74.03 D
Explanation of Responses:
1. Represents 39,489 shares of the Issuer's Class A Common Stock owned and 153,369 shares represented by unvested Restricted Stock Units (RSUs).
2. 20,062 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 35,665 RSUs, 1/16 of the RSUs vested on May 20, 2023 and 1/16 of the total RSUs vest every three months thereafter.
3. 35,432 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 47,241 RSUs, 1/16 of the RSUs vested on February 20, 2024 and 1/16 of the total RSUs vest every three months thereafter.
4. 32,590 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 40,109 RSUs, 1/16 of the RSUs vested on May 20, 2024 and 1/16 of the total RSUs vest every three months thereafter.
5. 65,285 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 69,637 RSUs, 1/16 of the RSUs vested on November 20, 2024 and 1/16 of the total RSUs vest every three months thereafter.
6. 1/48th of the shares subject to the option vested on April 20, 2024 and 1/48th of the shares vest monthly thereafter.
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.
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