0001209191-16-139988.txt : 20160906
0001209191-16-139988.hdr.sgml : 20160906
20160906140514
ACCESSION NUMBER: 0001209191-16-139988
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160901
FILED AS OF DATE: 20160906
DATE AS OF CHANGE: 20160906
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
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: 161870553
MAIL ADDRESS:
STREET 1: GREYLOCK
STREET 2: 880 WINTER ST SUITE 300
CITY: WALTHAM
STATE: MA
ZIP: 02451
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-09-01
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
2016-09-01
4
A
0
403
0.00
A
Common Stock, $0.01 par value
403
34143
D
These Ford Stock Units result from dividend equivalents credited to my account by the Company, without payment by me, 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
2016-09-06