Roelof Botha - 14 Jun 2022 Form 4 Insider Report for Block, Inc. (XYZ)

Role
Director
Signature
/s/ Susan Szotek, Attorney-in-Fact
Issuer symbol
XYZ
Transactions as of
14 Jun 2022
Net transactions value
$0
Form type
4
Filing time
16 Jun 2022, 17:31:59 UTC
Previous filing
10 Jun 2022
Next filing
30 Jun 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SQ Class A Common Stock Award $0 +5,305 +43% $0.000000 17,754 14 Jun 2022 Direct F1
holding SQ Class A Common Stock 1,862 14 Jun 2022 Sequoia Capital U.S. Growth Fund IV, L.P. F2
holding SQ Class A Common Stock 77 14 Jun 2022 Sequoia Capital USGF Principals Fund IV, L.P. F2
holding SQ Class A Common Stock 684,741 14 Jun 2022 By estate planning vehicle
holding SQ Class A Common Stock 11,388 14 Jun 2022 Sequoia Capital U.S. Venture Fund XV, L.P. F3
holding SQ Class A Common Stock 479 14 Jun 2022 Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P. F3
holding SQ Class A Common Stock 171 14 Jun 2022 Sequoia Capital U.S. Venture Partners Fund XV, L.P. F3
holding SQ Class A Common Stock 1,750 14 Jun 2022 Sequoia Capital U.S. Venture XV Principals Fund, L.P. F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents an automatic annual restricted stock unit (RSU) award issued pursuant to the Issuer's Outside Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock upon settlement. 100% of the RSUs vest on the earlier of June 14, 2023, or the date of the Issuer's next annual meeting of stockholders.
F2 SC US (TTGP), Ltd. is the general partner of SCGF IV Management, L.P., which is the general partner of Sequoia Capital U.S. Growth Fund IV, L.P. and Sequoia Capital USGF Principals Fund IV, L.P., or collectively, the SC GFIV Funds. The Reporting Person is a Director of SC US (TTGP), Ltd. The Reporting Person disclaims beneficial ownership of the securities held by the SC GFIV Funds except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.
F3 SC US (TTGP), Ltd. is the general partner of SC U.S. Venture XV Management, L.P., which is the general partner of Sequoia Capital U.S. Venture Fund XV, L.P., Sequoia Capital U.S. Venture Partners Fund XV (Q), L.P., Sequoia Capital U.S. Venture Partners Fund XV, L.P. and Sequoia Capital U.S. Venture XV Principals Fund, L.P., or collectively, the SC USV XV Funds. The Reporting Person is a Director of SC US (TTGP), Ltd. The Reporting Person disclaims beneficial ownership of the securities held by the SC USV XV Funds except to the extent of his pecuniary interest therein, and the inclusion of these securities in this report shall not be deemed an admission of beneficial ownership of the reported securities for purposes of Section 16 or for any other purposes.