| 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 | 192,858(1)(2)(3)(4)(5) | D | |
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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) | (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. | ||
| 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. | ||
