0001209191-17-056147.txt : 20171005
0001209191-17-056147.hdr.sgml : 20171005
20171005165744
ACCESSION NUMBER: 0001209191-17-056147
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20171004
FILED AS OF DATE: 20171005
DATE AS OF CHANGE: 20171005
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: 171125143
MAIL ADDRESS:
STREET 1: 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
2017-10-04
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
Common Stock, $0.01 par value
2017-10-04
4
C
0
44202
0.00
D
184116
D
Common Stock, $0.01 par value
2017-10-04
4
C
0
55798
0.00
D
0
I
By Children
Class B Stock, $0.01 par value
2017-10-04
4
C
0
44202
0.00
A
9002599
I
By Voting Trust
Class B Stock, $0.01 par value
2017-10-04
4
C
0
55798
0.00
A
2109949
I
By Voting Trust-Children
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
Common Stock, $0.01 par value
121881
I
By Company Plan
I disclaim beneficial ownership of these shares owned by my children.
I am one of four trustees of the voting trust. As shown, it holds 9,002,599 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 am one of four trustees of the voting trust. As shown, it holds 2,109,949 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 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.
Jerome F. Zaremba,
Attorney-in-Fact
2017-10-05