Initial Statement of Beneficial Ownership (3)
25 May 2021 - 7:17AM
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
*
Ford III Henry |
2. Date of Event Requiring Statement (MM/DD/YYYY)
5/13/2021
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3. Issuer Name and Ticker or Trading Symbol
FORD MOTOR CO [F]
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(Last)
(First)
(Middle)
ONE AMERICAN ROAD |
4. 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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(Street)
DEARBORN, MI 48126
(City)
(State)
(Zip)
| 5. 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 Beneficially Owned
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1.Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
Common Stock, $0.01 par value | 1464 | D | |
Common Stock, $0.01 par value | 1506 | I | By Company Plan |
Common Stock, $0.01 par value | 422730 | I | By Self as Trustee (1) |
Common Stock, $0.01 par value | 7100 | I | By Spouse as Trustee (2) |
Class B Stock, $0.01 par value | 4252 | I | By Voting Trust - Individually (3) |
Class B Stock, $0.01 par value | 15824 | I | By Voting Trust - By Trust (4) |
Class B Stock, $0.01 par value | 1163601 | I | By Voting Trust - By Self as Trustee (5) |
Class B Stock, $0.01 par value | 51692 | I | By Voting Trust - Spouse as Trustee (6) |
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) | 2. Date Exercisable and Expiration Date (MM/DD/YYYY) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) |
Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Ford Stock Units | (7) | (7) | Common Stock, $0.01 par value | 4189 | (7) | D | |
Ford Stock Units | (8) | (8) | Common Stock, $0.01 par value | 1570 | (8) | D | |
Ford Stock Units | (9) | (9) | Common Stock, $0.01 par value | 771 | (9) | D | |
Explanation of Responses: |
(1) | These shares are held in a trust of which I am the trustee. |
(2) | My spouse is trustee of these trusts that benefit my family. |
(3) | The voting trust holds 4,252 shares of Class B stock for my benefit. |
(4) | The voting trust holds 15,824 shares of Class B stock for the benefit of a trust of which I am a beneficiary. |
(5) | The voting trust holds 1,163,601 shares of Class B stock for the benefit of a trust of which I am the trustee. |
(6) | The voting trust holds 51,692 shares of Class B stock for the benefit of trusts, of which my spouse is trustee, that benefit my family. |
(7) | 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, to the extent of 1,382 on March 4, 2022, 1,382 on March 4, 2023, and 1,425 on March 4, 2024. |
(8) | 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, to the extent of 773 on March 4, 2022 and 797 on March 4, 2023. |
(9) | 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, to the extent of 771 on March 4, 2022. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Ford III Henry ONE AMERICAN ROAD DEARBORN, MI 48126 | X |
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Signatures
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Victoria Pool,
Attorney-in-Fact | | 5/24/2021 |
**Signature of Reporting Person | Date |
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