Statement of Changes in Beneficial Ownership (4)
23 Noviembre 2020 - 03:34PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5
obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL
OWNERSHIP OF SECURITIES
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OMB
APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response... 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 WILLIAM CLAY
JR |
2. Issuer Name and Ticker or Trading
Symbol FORD MOTOR CO [ F ] |
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)__X__
Director _____
10% Owner
__X__ Officer (give title
below) _____ Other
(specify below)
Exec. Chairman and Chairman |
(Last)
(First)
(Middle)
FORD MOTOR COMPANY, ONE AMERICAN ROAD |
3. Date of Earliest Transaction (MM/DD/YYYY)
11/20/2020
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(Street)
DEARBORN, MI 48126
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line) _X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person |
Table I - Non-Derivative Securities Acquired, Disposed of, or
Beneficially Owned
|
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) |
Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock, $0.01 par
value |
11/20/2020 |
|
C(1) |
|
376572 |
D |
$0.00 (1) |
1 |
D |
|
Class B Stock, $0.01 par
value |
11/20/2020 |
|
C(1) |
|
376572 |
A |
$0.00 (1) |
11037959 |
I |
By Voting Trust - Individually (2) |
Class B Stock, $0.01 par
value |
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|
|
|
|
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95532 |
I |
By Voting Trust - Spouse (3) |
Class B Stock, $0.01 par
value |
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|
|
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|
|
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165780 |
I |
By Voting Trust - Children (4) |
Class B Stock, $0.01 par
value |
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|
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|
|
|
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230570 |
I |
By Voting Trust - Annuity
Trusts (5) |
Class B Stock, $0.01 par
value |
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|
|
|
|
|
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3550944 |
I |
By Voting Trust - As Trustee (6) |
Common Stock, $0.01 par
value |
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|
|
|
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156261 |
I |
By Company Plan |
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible
securities)
|
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 |
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 Following Reported Transaction(s) (Instr. 4) |
10. Ownership Form of Derivative Security: Direct
(D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr.
4) |
Code |
V |
(A) |
(D) |
Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
Explanation of
Responses: |
(1) |
The reported transactions
resulted from an exchange of Common Stock for Class B Stock on a
one-for-one basis among holders of Class B Stock. |
(2) |
I am one of four trustees of
the voting trust. As shown, it holds 11,037,959 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 95,532 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. |
(4) |
I am one of four trustees of
the voting trust. As shown, it holds 165,780 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. |
(5) |
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. |
(6) |
I am one of four trustees of
the voting trust. As shown, it holds 3,550,944 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. |
Reporting
Owners
|
Reporting Owner Name / Address |
Relationships
|
Director |
10% Owner |
Officer |
Other |
FORD WILLIAM CLAY JR
FORD MOTOR COMPANY
ONE AMERICAN ROAD
DEARBORN, MI 48126 |
X |
|
Exec. Chairman and Chairman |
|
Signatures
|
Jerome F. Zaremba,
Attorney-in-Fact |
|
11/23/2020 |
**Signature of Reporting
Person |
Date |