0001209191-22-009379.txt : 20220214 0001209191-22-009379.hdr.sgml : 20220214 20220214165904 ACCESSION NUMBER: 0001209191-22-009379 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211231 FILED AS OF DATE: 20220214 DATE AS OF CHANGE: 20220214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FORD WILLIAM CLAY JR CENTRAL INDEX KEY: 0001230846 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 22634121 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2021-12-31 0 0 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 2021-12-22 5 G 0 750 0.00 A 11007872 I By Voting Trust - Individually Class B Stock, $0.01 par value 2021-06-23 5 G 0 3250 0.00 D 173791 I By Voting Trust - Children Class B Stock, $0.01 par value 2021-12-20 5 G 0 4653 0.00 A 178444 I By Voting Trust - Children Class B Stock, $0.01 par value 2021-12-20 5 G 0 7757 0.00 D 170687 I By Voting Trust - Children Class B Stock, $0.01 par value 2021-12-22 5 G 0 2250 0.00 A 172937 I By Voting Trust - Children Class B Stock, $0.01 par value 2021-12-22 5 G 0 1500 0.00 D 171437 I By Voting Trust - Children Class B Stock, $0.01 par value 2021-12-22 5 G 0 750 0.00 A 3954239 I By Voting Trust - As Trustee Class B Stock, $0.01 par value 97912 I By Voting Trust - Spouse Class B Stock, $0.01 par value 230570 I By Voting Trust - Annuity Trusts Common Stock, $0.01 par value 2156271 D Common Stock, $0.01 par value 159472 I By Company Plan BEP Ford Stock Fund Units Common Stock, $0.01 par value 210015 210015 D Employee Stock Option (Right to Buy) 6.19 2030-07-05 Common Stock, $0.01 par value 1408367 1408367 D Ford Stock Units Common Stock, $0.01 par value 161012 161012 D Ford Stock Units Common Stock, $0.01 par value 416764 416764 D Ford Stock Units Common Stock, $0.01 par value 33948 33948 D Ford Stock Units Common Stock, $0.01 par value 3817 3817 D I am one of four trustees of the voting trust. As shown, it holds 11,007,872 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. Following the transactions reported on this Form 5, it holds 171,437 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 3,954,239 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 97,912 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 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. These Ford Stock Fund Units were credited to my account by the Company, without payment by me, in transactions exempt under Rule 16b-3(c), under the Company's Benefit Equalization Plan, and included in my most recent plan statement. In general, these Ford Stock Fund Units will be converted and distributed to me, without payment, in cash, following termination of employment, based on the then current price of a Ford Stock Fund Unit and the then current market value of a share of Common Stock. This option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (07/06/2020) with the performance condition of the price of Ford stock closing on the New York Stock Exchange at $9.24 or higher for twenty consecutive business days during any period of the 10-year life of the options having been met prior to the first anniversary of the date of grant, and has been partially exercised. The remainder of the option will become exercisable in substantially equal annual installments on July 6, 2022 and July 6, 2023. These Ford Restricted Stock Units were acquired under the Company's Long-Term Incentive Plan without payment by me and will be converted and distributed to me, without payment, in shares of Common Stock on March 19, 2022. 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, in shares of Common Stock to the extent of 33% after one year from the date of grant (03/04/2021), 66% after two years, and in full after three years. 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, in shares of Common Stock on March 4, 2022. These Ford Stock Units were acquired 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 2022-02-14