0001209191-18-009925.txt : 20180214 0001209191-18-009925.hdr.sgml : 20180214 20180214151018 ACCESSION NUMBER: 0001209191-18-009925 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171231 FILED AS OF DATE: 20180214 DATE AS OF CHANGE: 20180214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORD WILLIAM CLAY JR CENTRAL INDEX KEY: 0001230846 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 18611497 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2017-12-31 0 0 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 2017-02-13 5 G 0 1115 0.00 A 92472 I By Spouse Class B Stock, $0.01 par value 2017-02-13 5 G 0 10039 0.00 D 8992560 I By Voting Trust Class B Stock, $0.01 par value 2017-02-14 5 G 0 318955 0.00 A 9311515 I By Voting Trust Class B Stock, $0.01 par value 2017-03-06 5 G 0 1115 0.00 A 9312630 I By Voting Trust Class B Stock, $0.01 par value 2017-02-13 5 G 0 8924 0.00 A 2118873 I By Voting Trust-Children Class B Stock, $0.01 par value 2017-03-06 5 G 0 4460 0.00 A 2123333 I By Voting Trust-Children Class B Stock, $0.01 par value 2017-02-14 5 G 0 318955 0.00 D 368523 I By Annuity Trust Common Stock, $0.01 par value 123942 I By Company Plan Common Stock, $0.01 par value 184116 D Class B Stock, $0.01 par value 247855 I by Spouse as Trustee BEP Ford Stock Fund Units Common Stock, $0.01 par value 113497 113497 D Employee Stock Option (Right to Buy) 15.37 2024-03-03 Common Stock, $0.01 par value 286415 286415 D Employee Stock Option (Right to Buy) 12.75 2023-03-03 Common Stock, $0.01 par value 347912 347912 D Employee Stock Option (Right to Buy) 12.46 2022-03-04 Common Stock, $0.01 par value 595238 595238 D Employee Stock Option (Right to Buy) 14.76 2021-03-02 Common Stock, $0.01 par value 412735 412735 D Employee Stock Option (Right to Buy) 12.98 2020-08-04 Common Stock, $0.01 par value 1320754 1320754 D Employee Stock Option (Right to Buy) 12.69 2020-03-02 Common Stock, $0.01 par value 485436 485436 D Employee Stock Option (Right to Buy) 2.84 2019-03-26 Common Stock, $0.01 par value 1474367 1474367 D Ford Stock Units Common Stock, $0.01 par value 3248 3248 D Ford Stock Units Common Stock, $0.01 par value 37118 37118 D Ford Stock Units Common Stock, $0.01 par value 105152 105152 D Ford Stock Units Common Stock, $0.01 par value 203396 203396 D I disclaim beneficial ownership of these shares owned by my wife. I am one of four trustees of the voting trust. As shown, it holds 9,312,630 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 2,123,333 shares of Class B Stock for the benefit of my children. I disclaim beneficial ownership of these shares. These shares are held in grantor retained annuity trusts of which I am the trustee. I disclaim beneficial ownership of these shares held by my wife as trustee of this trust for the benefit of my descendants. These Ford Stock Fund Units were credited to my account by the Company, without payment by me, in transactions exempt under Rule 16b-3(c), under the Company's Benefit Equalization Plan, and included in my most recent plan statement. In general, these Ford Stock Fund Units will be converted and distributed to me, without payment, in cash, following termination of employment, based on the then current price of a Ford Stock Fund Unit and the then current market value of a share of Common Stock. This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/04/2014), 66% after two years, and in full after three years. This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/04/2013), 66% after two years, and in full after three years. This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/05/2012), 66% after two years, and in full after three years. This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/03/2011), 66% after two years, and in full after three years. This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (08/05/2010), 66% after two years, and in full after three years. This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/03/2010), 66% after two years, and in full after three years. This option became exercisable to the extent of 33% of the shares optioned as of August 5, 2010, 66% of the shares optioned after two years from the date of grant (03/27/2009), and in full after three years from the date of grant (03/27/2009). These Ford Stock Units were acquired under the Company's Deferred Compensation Plan for Non-Employee Directors. In general, these Ford Stock Units will be converted and distributed to me, without payment, in cash, on January 10th of the year following termination of Board service, based upon the then current market value of a share of Common Stock. 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 on March 4, 2018. 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 51,791 shares on March 3, 2018 and 53,361 shares on March 3, 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 2018-02-14