Whiteley Sivan 4

4 · Block, Inc. · Filed May 9, 2022

Form 4

Period: 2022-05-05

Gen. Counsel & Corp. Secretary

Transactions

Conversion
Class B Common Stock
2022-05-05−4,167→ 0 total
→ Class A Common Stock (4,167 underlying)
Conversion
Class A Common Stock
2022-05-05+4,167→ 103,233 total
Exercise/Conversion
Stock Option (right to buy)
2022-05-05−4,167→ 0 total
Exercise: $7.25Exp: 2024-02-27→ Class B Common Stock (4,167 underlying)
Exercise/Conversion
Class B Common Stock
2022-05-05+4,167→ 4,167 total
→ Class A Common Stock (4,167 underlying)
Conversion
Class B Common Stock
2022-05-05−13,125→ 0 total
→ Class A Common Stock (13,125 underlying)
Conversion
Class A Common Stock
2022-05-05+13,125→ 116,358 total
Exercise/Conversion
Stock Option (right to buy)
2022-05-05−13,125→ 0 total
Exercise: $13.94Exp: 2025-06-16→ Class B Common Stock (13,125 underlying)
Exercise/Conversion
Class B Common Stock
2022-05-05+13,125→ 13,125 total
→ Class A Common Stock (13,125 underlying)

Footnotes (4)

[F1]Represents the conversion of Class B Common Stock into Class A Common Stock held of record by the Reporting Person.
[F2]25% of the shares subject to the option vested on January 31, 2015 and 1/48th of the shares vested monthly thereafter.
[F3]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.
[F4]25% of the shares subject to the option vested on June 1, 2016 and 1/48th of the shares vested monthly thereafter.

Documents

1 file