0001209191-21-035432.txt : 20210524 0001209191-21-035432.hdr.sgml : 20210524 20210524171653 ACCESSION NUMBER: 0001209191-21-035432 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210513 FILED AS OF DATE: 20210524 DATE AS OF CHANGE: 20210524 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ford III Henry CENTRAL INDEX KEY: 0001863430 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 21956123 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 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-05-13 0 0000037996 FORD MOTOR CO F 0001863430 Ford III Henry ONE AMERICAN ROAD DEARBORN MI 48126 1 0 0 0 Common Stock, $0.01 par value 1464 D Common Stock, $0.01 par value 1506 I By Company Plan Common Stock, $0.01 par value 422730 I By Self as Trustee Common Stock, $0.01 par value 7100 I By Spouse as Trustee Class B Stock, $0.01 par value 4252 I By Voting Trust - Individually Class B Stock, $0.01 par value 15824 I By Voting Trust - By Trust Class B Stock, $0.01 par value 1163601 I By Voting Trust - By Self as Trustee Class B Stock, $0.01 par value 51692 I By Voting Trust - Spouse as Trustee Ford Stock Units Common Stock, $0.01 par value 4189 D Ford Stock Units Common Stock, $0.01 par value 1570 D Ford Stock Units Common Stock, $0.01 par value 771 D These shares are held in a trust of which I am the trustee. My spouse is trustee of these trusts that benefit my family. The voting trust holds 4,252 shares of Class B stock for my benefit. The voting trust holds 15,824 shares of Class B stock for the benefit of a trust of which I am a beneficiary. The voting trust holds 1,163,601 shares of Class B stock for the benefit of a trust of which I am the trustee. The voting trust holds 51,692 shares of Class B stock for the benefit of trusts, of which my spouse is trustee, that benefit my family. 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 1,382 on March 4, 2022, 1,382 on March 4, 2023, and 1,425 on March 4, 2024. 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 773 on March 4, 2022 and 797 on March 4, 2023. 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 771 on March 4, 2022. Victoria Pool, Attorney-in-Fact 2021-05-24 EX-24.3_987844 2 poa.txt POA DOCUMENT POWER OF ATTORNEY I hereby constitute and appoint each of Douglas J. Cropsey, Corey M. MacGillivray, Jonathan E. Osgood, and Victoria Pool as my true and lawful attorney-in-fact, effective immediately, to: 1. Do anything on my behalf that is necessary or desirable to prepare, complete, and file Forms 3, 4, 5, and 144, and any amendment to those Forms, with the United States Securities and Exchange Commission ("SEC") and any stock exchange or similar authority, and any other documents required of me under Section 16 of the Securities Exchange Act of 1934, as Amended ("Section 16"), or Rule 144 under the Securities Act of 1933 ("Rule 144"), including completing and executing a Uniform Application for Access Codes to File on Edgar on Form ID 2. Execute such Forms or other documents or any amendments to those Forms or other documents for me in my name and file such Forms and amendments with the SEC and any stock exchange or similar authority as required by law or rule on my behalf; and 3. Take any other action in connection with those Forms or other documents or amendments that may be legally required or appropriate, in the opinion of the attorney-in-fact taking the action. I give each attorney-in-fact the power and authority to do anything that is required or appropriate in using his or her powers as attorney-in-fact, to the extent that I could act if I were personally present, with full power of substitution. I agree to everything these attorneys-in-fact (including substitutes for them) do under this Power of Attorney that is consistent with its terms. This Power of Attorney shall remain in effect until I have notified you in writing of its termination or it is superseded by a new power of attorney regarding the purposes outlined in the first paragraph hereof dated as of a later date. Signed: /s/Henry Ford III ______________________ Henry Ford III May 13, 2021