0001209191-17-051302.txt : 20170905 0001209191-17-051302.hdr.sgml : 20170905 20170905163109 ACCESSION NUMBER: 0001209191-17-051302 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170901 FILED AS OF DATE: 20170905 DATE AS OF CHANGE: 20170905 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 171069079 MAIL ADDRESS: STREET 1: C/O FORD MOTOR COMPANY STREET 2: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48126 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-09-01 0 0000037996 FORD MOTOR CO F 0001024509 HACKETT JAMES P ONE AMERICAN ROAD DEARBORN MI 48126 1 1 0 0 President and CEO Ford Stock Units 2017-09-01 4 A 0 29 0.00 A Common Stock, $0.01 par value 29 2217 D These Ford Stock Units result from dividend equivalents credited to my account by the Company, without payment by me, under the Company's Deferred Compensation Plan for Non-Employee Directors during my service as a non-employee director. These Ford Stock Units will be converted and distributed to me, without payment, in cash, to the extent of 50% of the balance on January 10, 2018 and the remaining balance on January 10, 2019, based upon the then current market value of a share of Common Stock. Jerome F. Zaremba, Attorney-in-Fact 2017-09-05