0001209191-19-016449.txt : 20190305 0001209191-19-016449.hdr.sgml : 20190305 20190305161836 ACCESSION NUMBER: 0001209191-19-016449 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190302 FILED AS OF DATE: 20190305 DATE AS OF CHANGE: 20190305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Klevorn Marcy S CENTRAL INDEX KEY: 0001692367 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 19658586 MAIL ADDRESS: STREET 1: 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 2019-03-02 0 0000037996 FORD MOTOR CO F 0001692367 Klevorn Marcy S ONE AMERICAN ROAD DEARBORN MI 48126 0 1 0 0 President, Mobility Common Stock, $0.01 par value 2019-03-02 4 M 0 61685 A 124493 D Common Stock, $0.01 par value 2019-03-03 4 M 0 4834 A 129327 D Common Stock, $0.01 par value 2019-03-03 4 M 0 16207 A 145534 D Common Stock, $0.01 par value 2019-03-04 4 F 0 23627 8.79 D 121907 D Ford Stock Units 2019-03-03 4 M 0 4834 D Common Stock, $0.01 par value 4834 0 D Ford Stock Units 2019-03-02 4 M 0 14597 D Common Stock, $0.01 par value 14597 15040 D Ford Stock Units 2019-03-02 4 M 0 47088 D Common Stock, $0.01 par value 47088 95604 D Ford Stock Units 2019-03-04 4 A 0 154824 A Common Stock, $0.01 par value 154824 154824 D The reported transaction involved the conversion, without payment by me, of Ford Stock Units into shares of Common Stock under the Company's Long-Term Incentive Plan. These shares were acquired under the Company's Long-Term Incentive Plan without payment by me and are a final award related to a 2016 performance-based restricted stock unit opportunity. These shares were withheld by the Company to cover my income tax liability relating to March 2, 2019 and March 3, 2019 vesting of awards of Common Stock under the Company's Long-Term Incentive Plan. The amount withheld for taxes for each award was determined using the closing price of Ford stock on March 1, 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, in shares of Common Stock to the extent of 33% after one year from the date of grant (03/04/2019), 66% after two years, and in full after three years. Jerome F. Zaremba, Attorney-in-Fact 2019-03-05