SEC Form 5 · accession 0001209191-15-013503

FORD MOTOR CO · F

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owner

Director

Period of report

Dec 31, 2014

Accepted (ET)

Feb 13, 2015 · 4:14 pm EST

Rule 10b5-1 plan

unknown — predates the checkbox

Issuer CIK

0000037996

Table I — non-derivative securities

Security	Date	Code	Shares	Price	A/D	Owned after	D/I	Nature of ownership
Class B Stock, $0.01 par value^F1	Jan 21, 2014	G	1,694	$0.00	D	1,794,818	I	By Voting Trust-Children
Common Stock, $0.01 par value	Jan 22, 2014	G	8,450	$0.00	D	140,499	D
Common Stock, $0.01 par value^F2	Jan 22, 2014	G	6,760	$0.00	A	679,724	I	By Trust-Children
Common Stock, $0.01 par value^F2	May 9, 2014	G	15,800	$0.00	A	695,524	I	By Trust-Children
Common Stock, $0.01 par value^F2	May 9, 2014	G	15,800	$0.00	D	679,724	I	By Trust-Children
Common Stock, $0.01 par value^F3	May 9, 2014	G	15,800	$0.00	A	179,490	I	as Trustee-Remainder Trusts
Common Stock, $0.01 par value	holding	—	—		—	18,287	I	By Company Plan
Common Stock, $0.01 par value^F4	holding	—	—		—	24,321	I	By Spouse
Common Stock, $0.01 par value^F5	holding	—	—		—	161,909	I	as Trustee
Common Stock, $0.01 par value^F6	holding	—	—		—	1,341,411	I	By Annuity Trust
Class B Stock, $0.01 par value^F3	holding	—	—		—	1,194,905	I	as Trustee-Remainder Trusts
Class B Stock, $0.01 par value^F5	holding	—	—		—	1,983,119	I	as Trustee
Class B Stock, $0.01 par value^F4	holding	—	—		—	32,508	I	By Spouse
Class B Stock, $0.01 par value^F7	holding	—	—		—	80	I	By Voting Trust

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Ford Stock Units^F8	—	holding	—	—	—	—	—	Common Stock, $0.01 par value	127,400	127,400	D

F1I am one of four trustees of the voting trust. As shown, it holds 1,794,818 shares of Class B Stock for the benefit of my children. I disclaim benefical ownership of these shares.
F2I am the trustee of these trusts for my children. I disclaim beneficial ownership of these shares.
F3I am the trustee of these trusts for the benefit of my children's children. I disclaim beneficial ownership of these shares.
F4I disclaim beneficial ownership of these shares owned by my wife.
F5I am the trustee of this trust which holds these shares for the benefit of my children. I disclaim beneficial ownership of these shares.
F6These shares are held in a grantor retained annuity trust of which I am trustee.
F7I am one of four trustees of the voting trust. As shown, it holds 80 shares of Class B Stock for my benefit. I disclaim benefical ownership of any other shares of Class B Stock in said voting trust.
F8These 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.