0001209191-12-009017.txt : 20120210 0001209191-12-009017.hdr.sgml : 20120210 20120210161908 ACCESSION NUMBER: 0001209191-12-009017 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: FORD WILLIAM CLAY JR CENTRAL INDEX KEY: 0001230846 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 12593154 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 0001230846 FORD WILLIAM CLAY JR FORD MOTOR COMPANY ONE AMERICAN ROAD DEARBORN MI 48126 1 1 0 0 Exec. Chairman and Chairman Class B Stock, $0.01 par value 2011-01-06 5 G 0 1434 0.00 A 4015633 I By Voting Trust Class B Stock, $0.01 par value 2011-01-06 5 G 0 6453 0.00 D 4009180 I By Voting Trust Class B Stock, $0.01 par value 2011-02-25 5 G 0 133512 0.00 D 3875668 I By Voting Trust Class B Stock, $0.01 par value 2011-04-06 5 G 0 747661 0.00 D 3128007 I By Voting Trust Class B Stock, $0.01 par value 2011-08-29 5 G 0 111048 0.00 A 3239055 I By Voting Trust Class B Stock, $0.01 par value 2011-01-06 5 G 0 2151 0.00 A 67772 I By Spouse Class B Stock, $0.01 par value 2011-01-06 5 G 0 8604 0.00 A 399757 I By Voting Trust-Children Class B Stock, $0.01 par value 2011-02-25 5 G 0 133512 0.00 A 133512 I By Spouse as Trustee Common Stock, $0.01 par value 2011-09-02 5 G 0 132092 0.00 D 3908062 D Common Stock, $0.01 par value 12412 I By Spouse Common Stock, $0.01 par value 6245 I By Spouse as Custodian Common Stock, $0.01 par value 152594 I By Trust-Children Common Stock, $0.01 par value 186964 I By Voting Trust Common Stock, $0.01 par value 84010 I By Company Plan Class B Stock, $0.01 par value 11179 I By Spouse as Custodian Employee Stock Option (Right to Buy) 16.42 2012-03-27 Common Stock, $0.01 par value 66845 66845 D Employee Stock Option (Right to Buy) 16.12 2012-06-27 Common Stock, $0.01 par value 67446 67446 D Employee Stock Option (Right to Buy) 15.98 2013-12-30 Common Stock, $0.01 par value 62396 62396 D Employee Stock Option (Right to Buy) 16.49 2014-01-04 Common Stock, $0.01 par value 1587301 1587301 D Employee Stock Option (Right to Buy) 12.49 2015-03-10 Common Stock, $0.01 par value 1685393 1685393 D Employee Stock Option (Right to Buy) 2.84 2019-03-26 Common Stock, $0.01 par value 3470000 3470000 D Employee Stock Option (Right to Buy) 12.98 2020-08-04 Common Stock, $0.01 par value 1320754 1320754 D Employee Stock Option (Right to Buy) 12.69 2020-03-02 Common Stock, $0.01 par value 485436 485436 D Employee Stock Option (Right to Buy) 14.76 2021-03-02 Common Stock, $0.01 par value 412735 412735 D Ford Stock Units Common Stock, $0.01 par value 1786074 1786074 D Ford Stock Units Common Stock, $0.01 par value 253742 253742 D Ford Stock Units Common Stock, $0.01 par value 2568 2568 D BEP Ford Stock Fund Units Common Stock, $0.01 par value 0 11581 D I am one of five trustees of the voting trust. As shown, it holds 3,239,055 shares of Class B Stock for my benefit. I disclaim benefical ownership of any other shares of Class B Stock in said voting trust. I disclaim beneficial ownership of these shares owned by my wife. I am one of five trustees of the voting trust. As shown, it holds 399,757 shares of Class B Stock for the benefit of three of my children. I disclaim benefical ownership of these shares. I disclaim beneficial ownership of these shares held by my wife as trustee of this trust for the benefit of my descendants. I disclaim beneficial ownership of these shares held by my wife as custodian for one of my children. I am the trustee of these trusts for three of my children. I disclaim beneficial ownership of these shares. I am a trustee of the voting trust. As shown, it holds 186,964 shares of Common Stock for my benefit. I disclaim beneficial ownership of any other shares of Common Stock in said voting trust. The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/28/2002), 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 (06/28/2002), 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 (12/31/2003), 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 (01/05/2004), 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 (03/11/2005), 66% after two years, and in full after three years. The option became exercisable to the extent of 33% of the shares optioned as of August 5, 2010, 66% of the shares optioned after two years from the date of grant (03/27/2009), and in full after three years from the date of grant (03/27/2009). This option is exercisable to the extent of 33% of the shares optioned after one year from the date of grant (08/05/2010), 66% after two years, and in full after three years. This option is 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. This option is 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 August 5, 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. These Ford Stock Units were acquired 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. These Ford Stock Fund Units were credited to my account by the Company, without payment by me, in transactions exempt under Rule 16b-3(c), under the Company's Benefit Equalization 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. Jerome F. Zaremba, Attorney-in-Fact 2012-02-10