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