SEC Form 4 · accession 0001209191-16-134335
Block, Inc. · XYZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Alyssa Henry
Officer — Seller Lead
Period of report
Jul 26, 2016
Accepted (ET)
Jul 28, 2016 · 5:44 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001512673
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Class A Common StockF1 | Jun 15, 2016 | A | 1,770 | $7.65 | A | 230,644 | D | |
| Class A Common StockF2 | Jul 26, 2016 | S | 5,379 | $9.77 | D | 225,265 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1These shares were acquired under the Issuer's Employee Stock Purchase Plan in a transaction that was exempt under both Rule 16b-3(d) and Rule 16b-3(c).
- F2Represents the number of shares automatically sold upon vesting of restricted stock units to cover tax withholding obligations.