0001209191-11-047839.txt : 20110914 0001209191-11-047839.hdr.sgml : 20110914 20110914160031 ACCESSION NUMBER: 0001209191-11-047839 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20110907 FILED AS OF DATE: 20110914 DATE AS OF CHANGE: 20110914 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Helman William W CENTRAL INDEX KEY: 0001339232 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 111090611 MAIL ADDRESS: STREET 1: GREYLOCK STREET 2: 880 WINTER ST SUITE 300 CITY: WALTHAM STATE: MA ZIP: 02451 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FORD MOTOR CO CENTRAL INDEX KEY: 0000037996 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 380549190 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48126 BUSINESS PHONE: 3133223000 MAIL ADDRESS: STREET 1: ONE AMERICAN RD CITY: DEARBORN STATE: MI ZIP: 48126 3 1 doc3.xml FORM 3 SUBMISSION X0204 3 2011-09-07 0 0000037996 FORD MOTOR CO F 0001339232 Helman William W C/O GREYLOCK PARTNERS, ONE BRATTLE SQUARE, 4TH FLOOR CAMBRIDGE MA 02138 1 0 0 0 Common Stock, $0.01 par value 20000 D No derivative securities owned. No securities owned. 0 D Not applicable. Peter J. Sherry, Jr., Attorney-in-Fact 2011-09-14 EX-24.3_391656 2 poa.txt POA DOCUMENT Ford Motor Company One American Road P.O. Box 1899 Dearborn, Michigan 48126 September 7, 2011 Securities and Exchange Commission 450 Fifth Street N.W. Washington, D.C. 20549 Authority to Sign Reports under Section 16(a) of the Securities Exchange Act of 1934 or Rule 144 under the Securities Act of 1933 Ladies and Gentlemen: Please let this letter serve to confirm the authority I have granted, effective immediately, to Peter J. Sherry, Jr., Secretary, and Jerome F. Zaremba, Counsel, Ford Motor Company, to execute and file with the Securities and Exchange Commission and other relevant securities exchanges forms, reports, notices and any other documents required of me under Section 16(a) of the Securities Exchange Act of 1934 or Rule 144 under the Securities Act of 1933. This authority shall remain in effect until I shall have notified you in writing of its termination. Sincerely, /s/ William W. Helman IV William W. Helman IV Director