Annual Statement of Changes in Beneficial Ownership (5)
February 12 2020 - 04:13PM
Edgar (US Regulatory)
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
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Form 3 Holdings Reported
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Form 4 Transactions Reported
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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3235-0362
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
FORD EDSEL B II | 2. Issuer Name and Ticker or Trading SymbolFORD MOTOR CO [F] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
__X__ Director _____ 10% Owner _____ Officer (give title below) _____ Other (specify below)
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(Last)
(First)
(Middle)
FORD MOTOR COMPANY, ONE AMERICAN ROAD | 3. Statement for Issuer's Fiscal Year Ended (MM/DD/YYYY) 12/31/2019 |
(Street)
DEARBORN, MI 48126
(City)
(State)
(Zip)
| 4. If Amendment, Date Original Filed(MM/DD/YYYY) | 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form Filed by One Reporting Person
___ Form Filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3) | 2. Trans. Date | 2A. Deemed Execution Date, if any | 3. Trans. Code (Instr. 8) | 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) | 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) | 7. Nature of Indirect Beneficial Ownership (Instr. 4) |
Amount | (A) or (D) | Price |
Common Stock, $0.01 par value | 7/2/2019 | | G | 176962 | A | $0.00 | 756173 | I | as Trustee (1) |
Class B Stock, $0.01 par value | 12/18/2019 | | G | 31680 | D | $0.00 | 1027500 | I | By Voting Trust - Individually (2) |
Class B Stock, $0.01 par value | 12/17/2019 | | G | 3205 | D | $0.00 | 924182 | I | By Voting Trust - Children (3) |
Class B Stock, $0.01 par value | 12/18/2019 | | G | 9504 | A | $0.00 | 933686 | I | By Voting Trust - Children (3) |
Class B Stock, $0.01 par value | | | | | | | 3258835 | I | By Voting Trust - As Trustee (4) |
Class B Stock, $0.01 par value | | | | | | | 32508 | I | By Voting Trust - Spouse (5) |
Common Stock, $0.01 par value | | | | | | | 158066 (6) | D | |
Common Stock, $0.01 par value | | | | | | | 331884 | I | By Children (7) |
Common Stock, $0.01 par value | | | | | | | 24321 | I | By Spouse |
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date (MM/DD/YYYY) | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Ford Stock Units | | | | | | | (8) | (8) | Common Stock, $0.01 par value | 171082 (8) | | 171082 (8) | D | |
Explanation of Responses: |
(1) | I am a trustee of these trusts that benefit my family. |
(2) | I am one of four trustees of the voting trust. As shown, it holds 1,027,500 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. |
(3) | I am one of four trustees of the voting trust. As shown, it holds 933,686 shares of Class B stock for the benefit of my children. I disclaim beneficial ownership of these shares. |
(4) | I am one of four trustees of the voting trust. As shown, it holds 3,258,835 shares of Class B stock for the benefit of trusts, of which I am a trustee, that benefit my family. |
(5) | I am one of four trustees of the voting trust. As shown, it holds 32,508 shares of Class B stock for the benefit of my spouse. |
(6) | The balance shown includes 24,594 shares acquired from an in-kind transfer from the reporting person's 401k account to his personal IRA account. |
(7) | I disclaim beneficial ownership of these shares owned by my children. |
(8) | 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. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
FORD EDSEL B II FORD MOTOR COMPANY ONE AMERICAN ROAD DEARBORN, MI 48126 | X |
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Signatures
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Jerome F. Zaremba, Attorney-in-Fact | | 2/12/2020 |
**Signature of Reporting Person | Date |
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