0001209191-12-009013.txt : 20120210 0001209191-12-009013.hdr.sgml : 20120210 20120210161741 ACCESSION NUMBER: 0001209191-12-009013 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111231 FILED AS OF DATE: 20120210 DATE AS OF CHANGE: 20120210 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KUZAK DERRICK M CENTRAL INDEX KEY: 0001191538 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 12593134 MAIL ADDRESS: STREET 1: FORD MOTOR COMPANY STREET 2: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48126 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 5 1 doc5.xml FORM 5 SUBMISSION X0304 5 2011-12-31 0 0 0 0000037996 FORD MOTOR CO F 0001191538 KUZAK DERRICK M FORD MOTOR COMPANY ONE AMERICAN ROAD DEARBORN MI 48124 0 1 0 0 Group Vice President Common Stock, $0.01 par value 2011-12-27 5 G 0 91857 0.00 D 143849 D BEP Ford Stock Fund Units Common Stock, $0.01 par value 0 3801 D Employee Stock Option (Right to Buy) 16.91 2012-03-14 Common Stock, $0.01 par value 43000 43000 D Employee Stock Option (Right to Buy) 7.55 2017-03-04 Common Stock, $0.01 par value 545103 545103 D Employee Stock Option (Right to Buy) 6.14 2018-03-04 Common Stock, $0.01 par value 167707 167707 D Employee Stock Option (Right to Buy) 1.96 2019-03-10 Common Stock, $0.01 par value 348019 348019 D Employee Stock Option (Right to Buy) 12.69 2020-03-02 Common Stock, $0.01 par value 76282 76282 D Employee Stock Option (Right to Buy) 14.76 2021-03-02 Common Stock, $0.01 par value 88443 88443 D Ford Stock Units Common Stock, $0.01 par value 170369 170369 D Ford Stock Units Common Stock, $0.01 par value 8421 8421 D Ford Stock Units Common Stock, $0.01 par value 31717 31717 D These Ford Stock Fund Units were credited to my account by the Company, in transactions exempt under Rule 16b-3(c), under the Company's Deferred Compensation Plan, and included in my most recent plan statement. In general, these Ford Stock Fund Units will be converted and distributed to me, without payment, in cash, following termination of employment, based on the then current price of a Ford Stock Fund Unit and the then current market value of a share of Common Stock. The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/15/2002), 66% after two years, and in full after three years. The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/05/2007), 66% after two years, and in full after three years. The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/05/2008), 66% after two years, and in full after three years. The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/11/2009), 66% after two years, and in full after three years. The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/03/2010), 66% after two years, and in full after three years. The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/03/2011), 66% after two years, and in full after three years. These Ford Restricted Stock Units were acquired under the Company's 2008 Long-Term Incentive Plan without payment by me. These Ford Restricted Stock Units will be converted and distributed to me, without payment, in shares of Common Stock on March 3, 2012. These Ford Restricted Stock Units were acquired under the Company's 2008 Long-Term Incentive Plan without payment by me. These Ford Restricted Stock Units will be converted and distributed to me, without payment, in shares of Common Stock on March 3, 2013. Jerome F. Zaremba, Attorney-in-Fact 2012-02-10