0001209191-21-069456.txt : 20211214 0001209191-21-069456.hdr.sgml : 20211214 20211214163652 ACCESSION NUMBER: 0001209191-21-069456 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211210 FILED AS OF DATE: 20211214 DATE AS OF CHANGE: 20211214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORD WILLIAM CLAY JR CENTRAL INDEX KEY: 0001230846 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 211491452 MAIL ADDRESS: STREET 1: 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 2021-12-10 0 0000037996 FORD MOTOR CO F 0001230846 FORD WILLIAM CLAY JR FORD MOTOR COMPANY ONE AMERICAN ROAD DEARBORN MI 48126 1 1 0 0 Executive Chair and Chair Class B Stock, $0.01 par value 2021-12-10 4 P 0 412500 20.62 A 3951938 I By Voting Trust - As Trustee Class B Stock, $0.01 par value 97137 I By Voting Trust - Spouse Class B Stock, $0.01 par value 11018754 I By Voting Trust - Individually Class B Stock, $0.01 par value 177041 I By Voting Trust - Children Class B Stock, $0.01 par value 230570 I By Voting Trust - Annuity Trusts I am one of four trustees of the voting trust. As shown, it holds 3,951,938 shares of Class B stock for the benefit of trusts, of which I am a trustee, that benefit my family. I disclaim beneficial ownership of any other shares of Class B stock in said voting trust, unless otherwise provided herein. I am one of four trustees of the voting trust. As shown, it holds 97,137 shares of Class B stock for the benefit of my spouse. I disclaim beneficial ownership of any other shares of Class B stock in said voting trust, unless otherwise provided herein. I am one of four trustees of the voting trust. As shown, it holds 11,018,754 shares of Class B stock for my benefit. I disclaim beneficial ownership of any other shares of Class B stock in said voting trust, unless otherwise provided herein. I am one of four trustees of the voting trust. As shown, it holds 177,041 shares of Class B stock for the benefit of my children. I disclaim beneficial ownership of these shares and of any other shares of Class B stock in said voting trust, unless otherwise provided herein. I am one of four trustees of the voting trust. As shown, it holds 230,570 shares of Class B stock for the benefit of grantor retained annuity trusts of which I am the trustee. I disclaim beneficial ownership of any other shares of Class B stock in said voting trust, unless otherwise provided herein. Victoria Pool, Attorney-in-Fact 2021-12-14