0001209191-17-009050.txt : 20170209 0001209191-17-009050.hdr.sgml : 20170209 20170209160626 ACCESSION NUMBER: 0001209191-17-009050 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170209 DATE AS OF CHANGE: 20170209 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: FORD EDSEL B II CENTRAL INDEX KEY: 0001230844 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 17587600 MAIL ADDRESS: STREET 1: C/O FORD MOTOR COMPANY STREET 2: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48126 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2016-12-31 0 0 0 0000037996 FORD MOTOR CO F 0001230844 FORD EDSEL B II FORD MOTOR COMPANY ONE AMERICAN ROAD DEARBORN MI 48126 1 0 0 0 Common Stock, $0.01 par value 2016-02-04 5 G 0 14580 0.00 D 125518 D Common Stock, $0.01 par value 2016-03-23 5 G 0 399000 0.00 A 525120 D Common Stock, $0.01 par value 2016-04-13 5 G 0 339435 0.00 A 864555 D Common Stock, $0.01 par value 2016-04-21 5 G 0 738435 0.00 D 126120 D Common Stock, $0.01 par value 2016-12-27 5 G 0 738435 0.00 A 877021 D Common Stock, $0.01 par value 2016-12-28 5 G 0 2240 0.00 D 874781 D Common Stock, $0.01 par value 2016-02-04 5 G 0 9720 0.00 A 867044 I By Trust-Children Common Stock, $0.01 par value 2016-09-19 5 G 0 35688 0.00 A 251938 I as Trustee-Remainder Trusts Common Stock, $0.01 par value 2016-03-23 5 G 0 399000 0.00 D 628731 I By Annuity Trust Common Stock, $0.01 par value 2016-04-13 5 G 0 339435 0.00 D 289296 I By Annuity Trust Common Stock, $0.01 par value 2016-04-21 5 G 0 738435 0.00 A 1027731 I By Annuity Trust Common Stock, $0.01 par value 2016-12-27 5 G 0 738435 0.00 D 289296 I By Annuity Trust Class B Stock, $0.01 par value 2016-03-14 5 G 0 2109 0.00 D 2133526 I By Voting Trust-Children Class B Stock, $0.01 par value 2016-05-05 5 G 0 2101 0.00 D 2131425 I By Voting Trust-Children Class B Stock, $0.01 par value 2016-12-30 5 G 0 2298 0.00 D 2129127 I By Voting Trust-Children Class B Stock, $0.01 par value 1803787 I as Trustee-Remainder Trusts Class B Stock, $0.01 par value 80 I By Voting Trust Class B Stock, $0.01 par value 32508 I By Spouse Class B Stock, $0.01 par value 1269672 I as Trustee Common Stock, $0.01 par value 20345 I By Company Plan Common Stock, $0.01 par value 24321 I By Spouse Common Stock, $0.01 par value 17346 I as Trustee Ford Stock Units Common Stock, $0.01 par value 141577 141577 D I am the trustee of these trusts for my children. I disclaim beneficial ownership of these shares. I am the trustee of these trusts for the benefit of my children's children. I disclaim beneficial ownership of these shares. These shares are held in a grantor retained annuity trust of which I am trustee. I am one of four trustees of the voting trust. As shown, it holds 2,129,127 shares of Class B Stock for the benefit of my children. I disclaim beneficial ownership of these shares. I am one of four trustees of the voting trust. As shown, it holds 80 shares of Class B Stock for my benefit. I disclaim beneficial 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 the trustee of this trust which holds these shares for the benefit of my children. I disclaim beneficial ownership of these shares. 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. Jerome F. Zaremba, Attorney-in-Fact 2017-02-09