James Morgan McKelvey Jr. - 09 Aug 2024 Form 4 Insider Report for Block, Inc. (XYZ)

Role
Director
Signature
/s/ Susan Szotek, Attorney-in-Fact
Issuer symbol
XYZ
Transactions as of
09 Aug 2024
Net transactions value
$0
Form type
4
Filing time
13 Aug 2024, 17:32:03 UTC
Previous filing
03 Jul 2024
Next filing
06 Feb 2025
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 +319,000 $0.000000 319,000 09 Aug 2024 See Footnote F1, F2
transaction SQ Class A Common Stock Gift $0 -319,000 -100% $0.000000* 0 09 Aug 2024 See Footnote F2
transaction SQ Class A Common Stock Gift $0 -6,527 -45% $0.000000 8,126 09 Aug 2024 Direct
holding SQ Class A Common Stock 125,000 09 Aug 2024 See Footnote F3

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 Class B Common Stock Conversion of derivative security $0 -319,000 -2.6% $0.000000 11,940,025 09 Aug 2024 Class A Common Stock 319,000 See Footnote F1, F2, F4
* 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 James McKelvey, Jr. Revocable Trust dated July 2, 2014, for which the Reporting Person serves as a Trustee (the "Revocable Trust").
F2 The shares are held of record by the Revocable Trust.
F3 The shares are held by the Anna Elefteria Ntenta Trust, dated 11/30/2017, for the benefit of the Reporting Person's spouse.
F4 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.