0001209191-21-067795.txt : 20211203
0001209191-21-067795.hdr.sgml : 20211203
20211203160700
ACCESSION NUMBER: 0001209191-21-067795
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211201
FILED AS OF DATE: 20211203
DATE AS OF CHANGE: 20211203
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Helman William W
CENTRAL INDEX KEY: 0001339232
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-03950
FILM NUMBER: 211470034
MAIL ADDRESS:
STREET 1: GREYLOCK
STREET 2: 880 WINTER ST SUITE 300
CITY: WALTHAM
STATE: MA
ZIP: 02451
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
2021-12-01
0
0000037996
FORD MOTOR CO
F
0001339232
Helman William W
C/O GREYLOCK
40 GROVE STREET, #430
WELLESLEY
MA
02482
1
0
0
0
Ford Stock Units
2021-12-01
4
A
0
213
0.00
A
Common Stock, $0.01 par value
213
42855
D
These Ford Stock Units result from dividend equivalents credited to my account by the Company, without payment by me, under the Company's Deferred Compensation Plan for Non-Employee Directors. In general, these Ford Stock Units will be converted and distributed to me, without payment, in cash, on January 10th of the year following termination of Board service, based upon the then current market value of a share of Common Stock.
Victoria Pool,
Attorney-in-Fact
2021-12-03