0001209191-22-017173.txt : 20220308 0001209191-22-017173.hdr.sgml : 20220308 20220308171905 ACCESSION NUMBER: 0001209191-22-017173 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220304 FILED AS OF DATE: 20220308 DATE AS OF CHANGE: 20220308 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Galhotra Ashwani Kumar CENTRAL INDEX KEY: 0001720106 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-03950 FILM NUMBER: 22722790 MAIL ADDRESS: STREET 1: ONE AMERICAN ROAD CITY: DEARBORN STATE: MI ZIP: 48138 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 2022-03-04 0 0000037996 FORD MOTOR CO F 0001720106 Galhotra Ashwani Kumar ONE AMERICAN ROAD DEARBORN MI 48126 0 1 0 0 President, Ford Blue Common Stock, $0.01 par value 2022-03-04 4 M 0 105766 A 449516 D Common Stock, $0.01 par value 2022-03-04 4 M 0 37462 A 486978 D Common Stock, $0.01 par value 2022-03-04 4 M 0 30553 A 517531 D Common Stock, $0.01 par value 2022-03-04 4 M 0 45640 A 563171 D Common Stock, $0.01 par value 2022-03-04 4 F 0 87715 16.85 D 475456 D Ford Stock Units 2022-03-04 4 M 0 37462 D Common Stock, $0.01 par value 37462 0 D Ford Stock Units 2022-03-04 4 M 0 45640 D Common Stock, $0.01 par value 45640 92666 D Ford Stock Units 2022-03-04 4 M 0 30553 D Common Stock, $0.01 par value 30553 0 D Ford Stock Units 2022-03-04 4 A 0 102551 A Common Stock, $0.01 par value 102551 102551 D These shares were acquired under the Company's Long-Term Incentive Plan without payment by me and are a final award related to a 2019 performance-based restricted stock unit opportunity. The reported transaction involved the conversion, without payment by me, of Ford Stock Units into shares of Common Stock under the Company's Long-Term Incentive Plan. These shares were withheld by the Company to cover my income tax liability relating to the award vesting of Common Stock under the Company's Long-Term Incentive Plan. The balance shown includes additional units resulting from reinvestment of dividend equivalents. 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 (03/04/2022), 66% after two years, and in full after three years. Victoria Pool, Attorney-in-Fact 2022-03-08