0001209191-17-023138.txt : 20170328 0001209191-17-023138.hdr.sgml : 20170328 20170328161712 ACCESSION NUMBER: 0001209191-17-023138 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170324 FILED AS OF DATE: 20170328 DATE AS OF CHANGE: 20170328 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 17719162 MAIL ADDRESS: STREET 1: FORD MOTOR COMPANY STREET 2: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48126 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-03-24 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 2017-03-24 4 P 0 171379 11.67 A 8958397 I By Voting Trust Class B Stock, $0.01 par value 687478 I By Annuity Trust Class B Stock, $0.01 par value 91357 I By Spouse Class B Stock, $0.01 par value 247855 I by Spouse as Trustee Class B Stock, $0.01 par value 2054151 I By Voting Trust-Children I am one of four trustees of the voting trust. As shown, it holds 8,958,397 shares of Class B Stock for my benefit. I disclaim beneficial ownership of any other shares of Class B Stock in said voting trust. These shares are held in a grantor retained annuity trust of which I am the trustee. I disclaim beneficial ownership of these shares owned by my wife. I disclaim beneficial ownership of these shares held by my wife as trustee of this trust for the benefit of my descendants. 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. Jerome F. Zaremba, Attorney-in-Fact 2017-03-28