0001209191-17-018927.txt : 20170307 0001209191-17-018927.hdr.sgml : 20170307 20170307174140 ACCESSION NUMBER: 0001209191-17-018927 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170304 FILED AS OF DATE: 20170307 DATE AS OF CHANGE: 20170307 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: Klevorn Marcy S CENTRAL INDEX KEY: 0001692367 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 17673151 MAIL ADDRESS: STREET 1: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48126 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-04 0 0000037996 FORD MOTOR CO F 0001692367 Klevorn Marcy S ONE AMERICAN ROAD DEARBORN MI 48126 0 1 0 0 Group Vice President Common Stock, $0.01 par value 2017-03-04 4 M 0 2727 A 34965 D Common Stock, $0.01 par value 2017-03-04 4 M 0 2738 A 37703 D Common Stock, $0.01 par value 2017-03-04 4 F 0 1696 12.64 D 36007 D Ford Stock Units 2017-03-04 4 M 0 2738 D Common Stock, $0.01 par value 2738 0 D Ford Stock Units 2017-03-04 4 M 0 2727 D Common Stock, $0.01 par value 2727 2811 D The reported transaction involved the conversion, without payment by me, of Ford Stock Units into shares of Common Stock under the Company's 2008 Long-Term Incentive Plan. These shares were withheld by the Company to cover my income tax liability relating to a grant to me of Common Stock under the Company's 2008 Long-Term Incentive Plan. 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 (03/04/2015), 66% after two years, and in full after three years. Jerome F. Zaremba, Attorney-in-Fact 2017-03-07