SEC Form 4 · accession 0001209191-19-005629
Block, Inc. · XYZ
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Amrita Ahuja
Officer — Chief Financial Officer
Period of report
Jan 24, 2019
Accepted (ET)
Jan 28, 2019 · 5:57 pm EST
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 | Jan 24, 2019 | A | 121,721 | $0.00 | A | 121,721 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F2 | $73.94 | Jan 24, 2019 | A | 97,701 | A | — | Jan 23, 2029 | Class A Common Stock | 97,701 | 97,701 | D |
Explanation of responses
- F1Each share represents a restricted stock award (RSA). 25% of the RSAs will vest on February 1, 2020, and 1/16th of the RSAs will vest each three-month anniversary thereafter through February 1, 2023.
- F225% of the shares subject to the option will vest on January 22, 2020, and 1/48 of the shares will vest monthly thereafter through January 22, 2023.