0001209191-12-000396.txt : 20120103 0001209191-12-000396.hdr.sgml : 20120102 20120103161809 ACCESSION NUMBER: 0001209191-12-000396 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120103 DATE AS OF CHANGE: 20120103 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Helman William W CENTRAL INDEX KEY: 0001339232 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 12502273 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 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-12-31 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 Ford Stock Units 2011-12-31 4 A 0 2805 10.695 A Common Stock, $0.01 par value 2805 5855 D These Ford Stock Units were credited to my account by the Company at the crediting price shown above under the Company's Deferred Compensation Plan for Non-Employee Directors. In general, these Ford Stock Units will be converted and distributed to me, without payment, in cash, on January 10th of the year following termination of Board service, based upon the then current market value of a share of Common Stock. Jerome F. Zaremba, Attorney-in-Fact 2012-01-03