Form 4 for XYZ Block, Inc.
Accepted 2021-12-14 00:00:00 ET · period of report 2021-12-10 · accession 0001209191-21-069550 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DI | 2021-12-14 | 2021-12-10 | XYZ | McKelvey James Morgan Jr. | Dir | G - Gift | $0.00 | -50.0K | 125.0K | -29% | $0 |
| DM | 2021-12-14 | 2021-12-10 | XYZ | McKelvey James Morgan Jr. | Dir | G - Gift | $0.00 | -375.0K | 53.9K | -87% | $0 |
| D | 2021-12-14 | 2021-12-10 | XYZ | McKelvey James Morgan Jr. | Dir | C - Cnv Deriv | $0.00 | +372.2K | 426.1K | +690% | $0 |
| D | 2021-12-14 | 2021-12-10 | XYZ | McKelvey James Morgan Jr. | Dir | C - Cnv Deriv | $0.00 | -372.2K | 0 | -100% | $0 |
| D | 2021-12-14 | 2021-12-10 | XYZ | McKelvey James Morgan Jr. | Dir | G - Gift | $0.00 | +372.2K | 372.2K | New | $0 |
| DI | 2021-12-14 | 2021-12-10 | XYZ | McKelvey James Morgan Jr. | Dir | G - Gift | $0.00 | -372.2K | 12.26M | -3% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Class A Common Stock | 2021-12-10 | G | D | 50,000 | $0.00 | 125,000 | I See Footnote | — | — | (F2) The shares are held by the Anna Elefteria Ntenta Trust, dated 11/30/2017, for the benefit of the Reporting Person's spouse. |
| 2 | Common | Class A Common Stock | 2021-12-10 | G | D | 425,000 | $0.00 | 1,097 | D | — | — | |
| 3 | Common | Class A Common Stock | 2021-12-10 | C | A | 372,191 | $0.00 | 426,097 | D | — | — | |
| 4 | Common | Class A Common Stock | 2021-12-10 | G | A | 50,000 | $0.00 | 53,906 | D | — | — | |
| 5 | Derivative | Class B Common Stock | 2021-12-10 | C | D | 372,191 | $0.00 | 0 | D | — · — to — | 372,191 Class A Common Stock | (F4) 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. |
| 6 | Derivative | Class B Common Stock | 2021-12-10 | G | A | 372,191 | $0.00 | 372,191 | D | — · — to — | 372,191 Class A Common Stock | (F4) 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. |
| 7 | Derivative | Class B Common Stock | 2021-12-10 | G | D | 372,191 | $0.00 | 12,259,025 | I See Footnote | — · — to — | 372,191 Class A Common Stock | (F4) 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. (F5) The shares are held of record by the James McKelvey, Jr. Revocable Trust dated July 2, 2014, for which the Reporting Person serves as a Trustee. |