0001209191-19-009247.txt : 20190212 0001209191-19-009247.hdr.sgml : 20190212 20190212153641 ACCESSION NUMBER: 0001209191-19-009247 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181231 FILED AS OF DATE: 20190212 DATE AS OF CHANGE: 20190212 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: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 19590463 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2018-12-31 0 0 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 2018-06-25 5 G 0 100000 0.00 D 67979 D Common Stock, $0.01 par value 2018-12-14 5 G 0 34964 0.00 D 33015 D Common Stock, $0.01 par value 2018-06-25 5 G 0 100000 0.00 A 100000 I by Annuity Trust Ford Stock Units Common Stock, $0.01 par value 87444 87444 D Ford Stock Units Common Stock, $0.01 par value 44984 44984 D Ford Stock Units Common Stock, $0.01 par value 105631 105631 D Ford Stock Units Common Stock, $0.01 par value 500000 500000 D My spouse is Trustee of these shares held in a grantor retained annuity trust. 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 87,444 shares of Common Stock on May 15, 2019. 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 22,156 shares of Common Stock on March 2, 2019 and 22,828 shares of Common Stock on March 2, 2020. 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 52,027 shares of Common Stock on May 22, 2019 and 53,604 shares of Common Stock on May 22, 2020. 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 Jerome F. Zaremba, Attorney-in-Fact 2019-02-12