FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). |
1. Name and Address of Reporting Person*
(Street)
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2. Issuer Name and Ticker or Trading Symbol
FORD MOTOR CO [ F ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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3. Date of Earliest Transaction
(Month/Day/Year) 03/20/2015 | ||||||||||||||||||||||||||
4. If Amendment, Date of Original Filed
(Month/Day/Year) |
6. Individual or Joint/Group Filing (Check Applicable Line)
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned | ||||||||||
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1. Title of Security (Instr. 3) | 2. Transaction Date (Month/Day/Year) | 2A. Deemed Execution Date, if any (Month/Day/Year) | 3. Transaction Code (Instr. 8) | 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) | |||
Code | V | Amount | (A) or (D) | Price | ||||||
Common Stock, $0.01 par value | 03/20/2015 | C | 133,000 | D | $0.00 | 177,671 | D | |||
Class B Stock, $0.01 par value | 03/20/2015 | C | 133,000 | A | $0.00 | 7,369,618 | I | By Voting Trust(1) | ||
Class B Stock, $0.01 par value | 76,882 | I | By Spouse(2) | |||||||
Class B Stock, $0.01 par value | 1,831,288 | I | By Voting Trust-Children(3) | |||||||
Class B Stock, $0.01 par value | 187,012 | I | by Spouse as Trustee(4) | |||||||
Class B Stock, $0.01 par value | 1,156,794 | I | By Annuity Trust(5) | |||||||
Common Stock, $0.01 par value | 99,089 | I | By Company Plan | |||||||
Common Stock, $0.01 par value | 60,843 | I | by Spouse as Trustee(4) | |||||||
Common Stock, $0.01 par value | 55,798 | I | By Children(6) | |||||||
Common Stock, $0.01 par value | 12,412 | I | By Spouse(2) | |||||||
Common Stock, $0.01 par value | 198,039 | I | By Trust-Children(7) |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||||||||||
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1. Title of Derivative Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (Month/Day/Year) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) | ||||
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Explanation of Responses: |
1. I am one of four trustees of the voting trust. As shown, it holds 7,369,618 shares of Class B Stock for my benefit. I disclaim beneficial ownership of any other shares of Class B Stock in said voting trust. |
2. I disclaim beneficial ownership of these shares owned by my wife. |
3. I am one of four trustees of the voting trust. As shown, it holds 1,831,288 shares of Class B Stock for the benefit of my children. I disclaim benefical ownership of these shares. |
4. I disclaim beneficial ownership of these shares held by my wife as trustee of this trust for the benefit of my descendants. |
5. These shares are held in a grantor retained annuity trust of which I am the trustee. |
6. I disclaim beneficial ownership of these shares owned by my children. |
7. I am the trustee of these trusts for my children. I disclaim beneficial ownership of these shares. |
Remarks: |
Jerome F. Zaremba, Attorney-in-Fact | 03/23/2015 | |
** Signature of Reporting Person | Date | |
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. |