0001209191-17-009052.txt : 20170209
0001209191-17-009052.hdr.sgml : 20170209
20170209160747
ACCESSION NUMBER: 0001209191-17-009052
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 WILLIAM CLAY JR
CENTRAL INDEX KEY: 0001230846
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-03950
FILM NUMBER: 17587628
MAIL ADDRESS:
STREET 1: 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
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
2016-02-04
5
G
0
10980
0.00
D
7389053
I
By Voting Trust
Class B Stock, $0.01 par value
2016-04-15
5
G
0
1078
0.00
A
8580158
I
By Voting Trust
Class B Stock, $0.01 par value
2016-05-12
5
G
0
206860
0.00
A
8787018
I
By Voting Trust
Class B Stock, $0.01 par value
2016-02-04
5
G
0
1220
0.00
A
91357
I
By Spouse
Class B Stock, $0.01 par value
2016-02-04
5
G
0
9760
0.00
A
1851800
I
By Voting Trust-Children
Class B Stock, $0.01 par value
2016-04-15
5
G
0
4312
0.00
A
2054151
I
By Voting Trust-Children
Class B Stock, $0.01 par value
2016-05-12
5
G
0
206860
0.00
D
687478
I
By Annuity Trust
Class B Stock, $0.01 par value
247855
I
by Spouse as Trustee
Common Stock, $0.01 par value
2297
D
Common Stock, $0.01 par value
114507
I
By Company Plan
Common Stock, $0.01 par value
55798
I
By Children
BEP Ford Stock Fund Units
Common Stock, $0.01 par value
93412
93412
D
Employee Stock Option (Right to Buy)
2.84
2019-03-26
Common Stock, $0.01 par value
1474367
1474367
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)
12.98
2020-08-04
Common Stock, $0.01 par value
1320754
1320754
D
Employee Stock Option (Right to Buy)
14.76
2021-03-02
Common Stock, $0.01 par value
412735
412735
D
Employee Stock Option (Right to Buy)
12.46
2022-03-04
Common Stock, $0.01 par value
595238
595238
D
Employee Stock Option (Right to Buy)
12.75
2023-03-03
Common Stock, $0.01 par value
347912
347912
D
Employee Stock Option (Right to Buy)
15.37
2024-03-03
Common Stock, $0.01 par value
286415
286415
D
Ford Stock Units
Common Stock, $0.01 par value
3078
3078
D
Ford Stock Units
Common Stock, $0.01 par value
310832
310832
D
Ford Stock Units
Common Stock, $0.01 par value
73144
73144
D
Ford Stock Units
Common Stock, $0.01 par value
156942
156942
D
I am one of four trustees of the voting trust. As shown, it holds 8,787,018 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 one of four trustees of the voting trust. As shown, it holds 2,054,151 shares of Class B Stock for the benefit of my children. I disclaim beneficial ownership of these shares.
These shares are held in a grantor retained annuity trust of which I am the trustee.
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 owned by my children.
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.
This 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 became 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 became 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 became 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
This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/05/2012), 66% after two years, and in full after three years.
This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/04/2013), 66% after two years, and in full after three years.
This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/04/2014), 66% after two years, and in full after three years.
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 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 4, 2017.
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 to the extent of 36,026 shares of Common Stock on March 4, 2017 and 37,118 shares of Common Stock on March 4, 2018.
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 to the extent of 33% after one year from the date of grant (03/03/2016), 66% after two years, and in full after three years.
Jerome F. Zaremba,
Attorney-in-Fact
2017-02-09