SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
O'Callaghan Catherine A.

(Last) (First) (Middle)
ONE AMERICAN ROAD

(Street)
DEARBORN MI 48126

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/01/2018
3. Issuer Name and Ticker or Trading Symbol
FORD MOTOR CO [ F ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Vice President and Controller
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, $0.01 par value 91,872 D
Common Stock, $0.01 par value 30,320 I by Spouse(1)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) (2) 03/02/2021 Common Stock, $0.01 par value 8,203 $14.76 D
Employee Stock Option (Right to Buy) (3) 03/03/2023 Common Stock, $0.01 par value 4,722 $12.75 D
Employee Stock Option (Right to Buy) (4) 03/03/2024 Common Stock, $0.01 par value 11,432 $15.37 D
Ford Stock Units (5) (5) Common Stock, $0.01 par value 1,754 (5) D
Ford Stock Units (6) (6) Common Stock, $0.01 par value 4,033 (6) D
Ford Stock Units (7) (7) Common Stock, $0.01 par value 7,326 (7) D
Ford Stock Units (8) (8) Common Stock, $0.01 par value 565 (8) I by Spouse(8)
Ford Stock Units (9) (9) Common Stock, $0.01 par value 1,191 (9) I by Spouse(9)
Ford Stock Units (10) (10) Common Stock, $0.01 par value 2,163 (10) I by Spouse(10)
Explanation of Responses:
1. These shares are held by my spouse.
2. 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.
3. 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.
4. 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.
5. These Ford Restricted Stock Units were acquired under the Company's 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 3, 2019.
6. These Ford Restricted Stock Units were acquired under the Company's 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 1,986 shares Common Stock on March 2, 2019 and 2,047 shares of Common Stock on March 2, 2020.
7. These Ford Restricted Stock Units were acquired under the Company's 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 (03/02/2018), 66% after two years, and in full after three years.
8. These Ford Restricted Stock Units were acquired by my spouse under the Company's Long-Term Incentive Plan without payment. These Ford Restricted Stock Units will be converted and distributed to my spouse, without payment, in shares of Common Stock on March 3, 2019.
9. These Ford Restricted Stock Units were acquired by my spouse under the Company's Long-Term Incentive Plan without payment. These Ford Restricted Stock Units will be converted and distributed to my spouse, without payment, to the extent of 586 shares Common Stock on March 2, 2019 and 605 shares of Common Stock on March 2, 2020.
10. These Ford Restricted Stock Units were acquired by my spouse under the Company's Long-Term Incentive Plan without payment. These Ford Restricted Stock Units will be converted and distributed to my spouse, without payment, in shares of Common Stock to the extent of 33% after one year from the date of grant (03/02/2018), 66% after two years, and in full after three years.
Remarks:
Jerome F. Zaremba, Attorney-in-Fact 06/05/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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