4//SEC Filing
Dorsey Jack 4
Accession 0001628280-25-029124
CIK 0001512673other
Filed
Jun 2, 8:00 PM ET
Accepted
Jun 3, 5:07 PM ET
Size
13.1 KB
Accession
0001628280-25-029124
Insider Transaction Report
Form 4
Block, Inc.XYZ
Dorsey Jack
DirectorBlock Head and Chairperson10% Owner
Transactions
- Gift
Class A Common Stock
2025-05-30+2,391→ 2,391 total(indirect: See Footnote) - Gift
Class A Common Stock
2025-05-30−2,391→ 0 total(indirect: See Footnote)
Holdings
- 710,454(indirect: See Footnote)
Class A Common Stock
- 35,763,992(indirect: See Footnote)
Class B Common Stock
→ Class A Common Stock (35,763,992 underlying) - 12,080,574(indirect: See Footnote)
Class B Common Stock
→ Class A Common Stock (12,080,574 underlying) - 287,155(indirect: See Footnote)
Class A Common Stock
Footnotes (9)
- [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.
Documents
Issuer
Block, Inc.
CIK 0001512673
Entity typeother
Related Parties
1- filerCIK 0001590945
Filing Metadata
- Form type
- 4
- Filed
- Jun 2, 8:00 PM ET
- Accepted
- Jun 3, 5:07 PM ET
- Size
- 13.1 KB