0001209191-17-034909.txt : 20170524 0001209191-17-034909.hdr.sgml : 20170524 20170524161308 ACCESSION NUMBER: 0001209191-17-034909 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20170519 FILED AS OF DATE: 20170524 DATE AS OF CHANGE: 20170524 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: HACKETT JAMES P CENTRAL INDEX KEY: 0001024509 STANDARD INDUSTRIAL CLASSIFICATION: STATE COMMERCIAL BANKS [6022] STATE OF INCORPORATION: MI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 17866819 MAIL ADDRESS: STREET 1: C/O FORD MOTOR COMPANY STREET 2: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48126 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2017-05-19 0 0000037996 FORD MOTOR CO F 0001024509 HACKETT JAMES P ONE AMERICAN ROAD DEARBORN MI 48126 1 1 0 0 President and CEO Common Stock, $0.01 par value 73574 D Ford Stock Units Common Stock, $0.01 par value 172315 D Ford Stock Units Common Stock, $0.01 par value 67140 D 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, to the extent of 84,871 shares Common Stock on May 15, 2018 and 87,444 shares of Common Stock on May 15, 2019. 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 (03/02/2017), 66% after two years, and in full after three years. Jerome F. Zaremba, Attorney-in-Fact 2017-05-24 EX-24.3_726263 2 poa.txt POA DOCUMENT Ford Ford Motor Company One American Road P.O. Box 1899 Dearborn, Michigan 48126 May 19, 2017 Securities and Exchange Commission 450 Fifth Street N.W. Washington, D.C. 20549 Authority to Sign Reports under Section 16(a) of the Securities Exchange Act of 1934 or Rule 144 under the Securities Act of 1933 Ladies and Gentlemen: Please let this letter serve to confirm the authority I have granted, effective immediately, to Douglas J. Cropsey, Corey M. MacGillivray, Jonathan E. Osgood, and Jerome F. Zaremba to execute and file with the Securities and Exchange Commission and other relevant securities exchanges forms, reports, notices and any other documents required of me under Section 16(a) of the Securities Exchange Act of 1934 or Rule 144 under the Securities Act of 1933. This authority shall remain in effect until I have notified you in writing of its termination. Sincerely, /s/ James P. Hackett James P. Hackett Officer and Director