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