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