SEC Form 4 · accession 0001209191-17-018937

FORD MOTOR CO · F

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

Reporting owner

Officer — Executive Vice President

Period of report

Mar 4, 2017

Accepted (ET)

Mar 7, 2017 · 5:45 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
Common Stock, $0.01 par value^F1	Mar 4, 2017	M	128,773	—	A	499,963	D
Common Stock, $0.01 par value^F1	Mar 4, 2017	M	16,984	—	A	516,947	D
Common Stock, $0.01 par value	Mar 4, 2017	F	63,536	$12.64	D	453,411	D

Security	Conv. / exercise price	Date	Code	Shares	A/D	Exercisable	Expires	Underlying	Underlying shares	Owned after	D/I
Ford Stock Units^F3	—	Mar 4, 2017	M	16,984	D	—	—	Common Stock, $0.01 par value	16,984	17,499	D
Ford Stock Units^F1	—	Mar 4, 2017	M	128,773	D	—	—	Common Stock, $0.01 par value	128,773	0	D

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.