0001209191-19-032226.txt : 20190523 0001209191-19-032226.hdr.sgml : 20190523 20190523141146 ACCESSION NUMBER: 0001209191-19-032226 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190522 FILED AS OF DATE: 20190523 DATE AS OF CHANGE: 20190523 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 19849471 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 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2019-05-22 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 2019-05-22 4 M 0 52027 A 257259 D Common Stock, $0.01 par value 2019-05-22 4 F 0 22684 9.97 D 234575 D Common Stock, $0.01 par value 100000 I by Annuity Trust Ford Stock Units 2019-05-22 4 M 0 52027 D Common Stock, $0.01 par value 52027 53604 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 withheld by the Company to cover my income tax liability relating to a grant to me of Common Stock under the Company's Long-Term Incentive Plan. My spouse is Trustee of these shares held in a grantor retained annuity trust. These Ford Restricted Stock Units will be converted into shares of Common Stock and distributed to me, without payment, on May 22, 2020. Corey M. MacGillivray, Attorney-in-Fact 2019-05-23