Initial Statement of Beneficial Ownership (3)
June 14 2019 - 2:59PM
Edgar (US Regulatory)
FORM 3
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES
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OMB APPROVAL
OMB Number:
3235-0104
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0.5
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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
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MOTT RANDALL D
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2. Date of Event Requiring Statement (MM/DD/YYYY)
6/5/2019
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3. Issuer Name
and
Ticker or Trading Symbol
General Motors Co [GM]
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(Last)
(First)
(Middle)
300 RENAISSANCE CENTER, M/C: 482-C25-A36
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4. Relationship of Reporting Person(s) to Issuer (Check all applicable)
_____ Director
_____ 10% Owner
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X
___ Officer (give title below)
_____ Other (specify below)
Executive Vice President & CIO /
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(Street)
DETROIT, MI 48265-3000
(City)
(State)
(Zip)
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5. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
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X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Beneficially Owned
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1.Title of Security
(Instr. 4)
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2. Amount of Securities Beneficially Owned
(Instr. 4)
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3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
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4. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Common Stock
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200770
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 4)
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2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
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3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
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4. Conversion or Exercise Price of Derivative Security
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5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
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6. Nature of Indirect Beneficial Ownership
(Instr. 5)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Employee Stock Option (Right to Buy)
(1)
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(1)
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2/28/2025
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Common Stock
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345705.0
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$31.32
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D
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Employee Stock Option (Right to Buy)
(2)
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(2)
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6/7/2027
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Common Stock
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80322.0
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$34.34
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D
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Employee Stock Option (Right to Buy)
(3)
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(3)
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2/11/2028
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Common Stock
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48310.0
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$41.4
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D
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Employee Stock Option (Right to Buy)
(4)
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(4)
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2/13/2029
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Common Stock
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57084.0
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$39.0
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D
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Explanation of Responses:
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(1)
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These Stock Options were granted on July 28, 2015, (the "Grant Date") under the Company's 2014 Long-Term Incentive Plan (the "DSV Options"). Eighty percent of the 345,705 DSV Options granted have vested. The remaining 20% will vest on February 15, 2020, provided that the Company meets or exceeds the median total shareholder return of the 14 original equipment manufacturers (other than GM) on the Dow Jones Automobiles and Parts Titans 30 Index on the Grant Date for the performance period form July 28, 2015, through December 31, 2019.
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(2)
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These Stock Options were granted on June 7, 2017, under the Company's 2017 Long-Term Incentive Plan (the "2017 LTIP"). Two-thirds of the 80,322 Stock Options granted have vested; the remaining one-third will vest on February 14, 2020.
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(3)
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These Stock Options were granted on February 13, 2018, under the Company's 2017 LTIP. One-third of the 48,310 Stock Options granted have vested; one-third will vest on February 13, 2020; and one-third will vest on February 13, 2021.
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(4)
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These Stock Options were granted on February 13, 2019, under the Company's 2017 LTIP. One-third of the 57,084 Stock Options granted will vest on February 13, 2020; and one-third will vest on February 13, 2021; and one-third will vest on February 13, 2022.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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MOTT RANDALL D
300 RENAISSANCE CENTER
M/C: 482-C25-A36
DETROIT, MI 48265-3000
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Executive Vice President & CIO
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Signatures
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/s/ Tia Y. Turk, attorney-in-fact for Mr. Mott
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6/14/2019
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 5(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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