SEC Form 4 · accession 0001209191-17-059291
Block, Inc. · XYZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anna Patterson
Director
Period of report
Nov 1, 2017
Accepted (ET)
Nov 3, 2017 · 5:36 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 | Nov 1, 2017 | A | 4,569 | $0.00 | A | 4,569 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Represents an automatic restricted stock unit (RSU) award issued pursuant to the Issuer's Outside Director Compensation Policy. Each RSU represents a contingent right to receive one share of Issuer's Class A Common Stock upon settlement. 100% of the RSUs vest on the earlier of November 1, 2018, or the Issuer's next annual meeting of stockholders.