Jack Dorsey - 30 May 2025 Form 4 Insider Report for Block, Inc. (XYZ)

Role
Block Head and Chairperson, Director, 10%+ Owner
Signature
/s/ Susan Szotek, Attorney-in-Fact
Issuer symbol
XYZ
Transactions as of
30 May 2025
Net transactions value
$0
Form type
4
Filing time
03 Jun 2025, 17:07:36 UTC
Previous filing
31 Oct 2022
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Dorsey Jack Block Head and Chairperson, Director, 10%+ Owner 1955 BROADWAY, SUITE 600, OAKLAND /s/ Susan Szotek, Attorney-in-Fact 03 Jun 2025 0001590945

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction XYZ Class A Common Stock Gift $0 -2,391 -100% $0.000000 0 30 May 2025 See Footnote F1, F2, F3
transaction XYZ Class A Common Stock Gift $0 +2,391 $0.000000 2,391 30 May 2025 See Footnote F4
holding XYZ Class A Common Stock 287,155 30 May 2025 See Footnote F1, F2, F5
holding XYZ Class A Common Stock 710,454 30 May 2025 See Footnote F1, F2, F6

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
holding XYZ Class B Common Stock 35,763,992 30 May 2025 Class A Common Stock 35,763,992 See Footnote F7, F8
holding XYZ Class B Common Stock 12,080,574 30 May 2025 Class A Common Stock 12,080,574 See Footnote F7, F9
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Since the date of the Reporting Person's last Form 4 filing, a total of 1,000,000 shares of Class A Common Stock previously held of record by the Jack Dorsey 2022 Annuity Trust, a grantor retained annuity trust for which the Reporting Person served as Co-Trustee (the "2022 Trust"), were transferred to and/or among (i) the Jack Dorsey Revocable Trust u/a/d 12/8/10, for which the Reporting Person serves as a Trustee (the "2010 Trust"), (ii) the Jack Dorsey and A7P Trust Company Inc Tr UA 05/26/2023, for which the Reporting Person serves as Trustee (the "2023 Trust"), (iii) the Jack Dorsey and A7P Trust Company Inc Tr UA 05/28/2024, for which the Reporting Person serves as Trustee (the "2024 Trust"), and (iv) the Jack Dorsey and A7P Trust Company Inc as Co-Trustees, Dated May 28, 2025, for which the Reporting Person serves as Trustee (the "2025 Trust") (continued at footnote 2 below).
F2 None of such transfers resulted in a change in beneficial ownership. In addition, a portion of such shares were transferred from the 2023 Trust to a trust in which the Reporting Person may be deemed to have a pecuniary interest. Following the transfers described in footnotes 1 and 2, no shares were held by the 2022 Trust or the 2023 Trust.
F3 The shares are held of record by the 2023 Trust.
F4 The shares are held of record by a trust in which the Reporting Person may be deemed to have a pecuniary interest. The Reporting Person disclaims beneficial ownership of these shares, except to the extent of his pecuniary interest therein.
F5 The shares are held of record by the 2024 Trust.
F6 The shares are held of record by the 2025 Trust.
F7 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.
F8 The shares are held of record by the 2010 Trust.
F9 The shares are held of record by Start Small, LLC, for which the Reporting Person is the sole member.