SEC Form 5 · accession 0001209191-17-009050

FORD MOTOR CO · F

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

Reporting owner

Edsel B Ford II

Director

Period of report

Dec 31, 2016

Accepted (ET)

Feb 9, 2017 · 4:06 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
Common Stock, $0.01 par value	Feb 4, 2016	G	14,580	$0.00	D	125,518	D
Common Stock, $0.01 par value	Mar 23, 2016	G	399,000	$0.00	A	525,120	D
Common Stock, $0.01 par value	Apr 13, 2016	G	339,435	$0.00	A	864,555	D
Common Stock, $0.01 par value	Apr 21, 2016	G	738,435	$0.00	D	126,120	D
Common Stock, $0.01 par value	Dec 27, 2016	G	738,435	$0.00	A	877,021	D
Common Stock, $0.01 par value	Dec 28, 2016	G	2,240	$0.00	D	874,781	D
Common Stock, $0.01 par value^F1	Feb 4, 2016	G	9,720	$0.00	A	867,044	I	By Trust-Children
Common Stock, $0.01 par value^F2	Sep 19, 2016	G	35,688	$0.00	A	251,938	I	as Trustee-Remainder Trusts
Common Stock, $0.01 par value^F3	Mar 23, 2016	G	399,000	$0.00	D	628,731	I	By Annuity Trust
Common Stock, $0.01 par value^F3	Apr 13, 2016	G	339,435	$0.00	D	289,296	I	By Annuity Trust
Common Stock, $0.01 par value^F3	Apr 21, 2016	G	738,435	$0.00	A	1,027,731	I	By Annuity Trust
Common Stock, $0.01 par value^F3	Dec 27, 2016	G	738,435	$0.00	D	289,296	I	By Annuity Trust
Class B Stock, $0.01 par value^F4	Mar 14, 2016	G	2,109	$0.00	D	2,133,526	I	By Voting Trust-Children
Class B Stock, $0.01 par value^F4	May 5, 2016	G	2,101	$0.00	D	2,131,425	I	By Voting Trust-Children
Class B Stock, $0.01 par value^F4	Dec 30, 2016	G	2,298	$0.00	D	2,129,127	I	By Voting Trust-Children
Class B Stock, $0.01 par value^F2	holding	—	—		—	1,803,787	I	as Trustee-Remainder Trusts
Class B Stock, $0.01 par value^F5	holding	—	—		—	80	I	By Voting Trust
Class B Stock, $0.01 par value^F6	holding	—	—		—	32,508	I	By Spouse
Class B Stock, $0.01 par value^F7	holding	—	—		—	1,269,672	I	as Trustee
Common Stock, $0.01 par value	holding	—	—		—	20,345	I	By Company Plan
Common Stock, $0.01 par value^F6	holding	—	—		—	24,321	I	By Spouse
Common Stock, $0.01 par value^F7	holding	—	—		—	17,346	I	as Trustee

Table II — derivative securities

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	141,577	141,577	D

Explanation of responses

F1I am the trustee of these trusts for my children. I disclaim beneficial ownership of these shares.
F2I am the trustee of these trusts for the benefit of my children's children. I disclaim beneficial ownership of these shares.
F3These shares are held in a grantor retained annuity trust of which I am trustee.
F4I am one of four trustees of the voting trust. As shown, it holds 2,129,127 shares of Class B Stock for the benefit of my children. I disclaim beneficial ownership of these shares.
F5I am one of four trustees of the voting trust. As shown, it holds 80 shares of Class B Stock for my benefit. I disclaim beneficial ownership of any other shares of Class B Stock in said voting trust.
F6I disclaim beneficial ownership of these shares owned by my wife.
F7I am the trustee of this trust which holds these shares for the benefit of my children. I disclaim beneficial ownership of these shares.
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.