SEC Form 4 · accession 0001209191-17-018927
FORD MOTOR CO · F
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Marcy S Klevorn
Officer — Group Vice President
Period of report
Mar 4, 2017
Accepted (ET)
Mar 7, 2017 · 5:41 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 valueF1 | Mar 4, 2017 | M | 2,727 | — | A | 34,965 | D | |
| Common Stock, $0.01 par valueF1 | Mar 4, 2017 | M | 2,738 | — | A | 37,703 | D | |
| Common Stock, $0.01 par value | Mar 4, 2017 | F | 1,696 | $12.64 | D | 36,007 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ford Stock UnitsF1 | — | Mar 4, 2017 | M | 2,738 | D | — | — | Common Stock, $0.01 par value | 2,738 | 0 | D |
| Ford Stock UnitsF3 | — | Mar 4, 2017 | M | 2,727 | D | — | — | Common Stock, $0.01 par value | 2,727 | 2,811 | D |
Explanation of responses
- F1The reported transaction involved the conversion, without payment by me, of Ford Stock Units into shares of Common Stock under the Company's 2008 Long-Term Incentive Plan.
- F2These shares were withheld by the Company to cover my income tax liability relating to a grant to me of Common Stock under the Company's 2008 Long-Term Incentive Plan.
- F3These Ford Restricted Stock Units were acquired under the Company's 2008 Long-Term Incentive Plan without payment by me. These Ford Restricted Stock Units will be converted and distributed to me, without payment, in shares of Common Stock to the extent of 33% after one year from the date of grant (03/04/2015), 66% after two years, and in full after three years.