Alyssa Henry - 11 Jan 2023 Form 4 Insider Report for Block, Inc. (XYZ)

Role
Square Lead
Signature
/s/ Susan Szotek, Attorney-in-Fact
Issuer symbol
XYZ
Transactions as of
11 Jan 2023
Net transactions value
-$2,174,109
Form type
4
Filing time
13 Jan 2023, 16:09:00 UTC
Previous filing
05 Jan 2023
Next filing
20 Jan 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SQ Class A Common Stock Conversion of derivative security $0 +30,769 +7.3% $0.000000 449,436 11 Jan 2023 Direct F1
transaction SQ Class A Common Stock Sale $1,655,834 -23,497 -5.2% $70.47 425,939 11 Jan 2023 Direct F2, F3
transaction SQ Class A Common Stock Sale $518,275 -7,272 -1.7% $71.27 418,667 11 Jan 2023 Direct F2, F4

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction SQ Stock Option (right to buy) Options Exercise $0 -30,769 -5.9% $0.000000 492,304 11 Jan 2023 Class B Common Stock 30,769 $7.25 Direct F2, F5, F6
transaction SQ Class B Common Stock Options Exercise $0 +30,769 $0.000000 30,769 11 Jan 2023 Class A Common Stock 30,769 Direct F6
transaction SQ Class B Common Stock Conversion of derivative security $0 -30,769 -100% $0.000000* 0 11 Jan 2023 Class A Common Stock 30,769 Direct F1, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.
F2 The option exercise and sales reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan.
F3 The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $70.06 to $70.98 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
F4 The reported price in Column 4 is a weighted average sale price. These shares were sold in multiple transactions at prices ranging from $71.11 to $71.49 per share. The Reporting Person undertakes to provide to the Issuer, any security holder of the Issuer, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
F5 25% of the shares subject to the option vested on May 12, 2015 and 1/48th of the shares vested monthly thereafter.
F6 Each share of Class B Common Stock is convertible into one share of Class A Common Stock at the option of the holder and has no expiration date.