SEC Form 4 · accession 0001209191-17-056147

FORD MOTOR CO · F

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

Reporting owner

Officer — Exec. Chairman and Chairman · Director

Period of report

Oct 4, 2017

Accepted (ET)

Oct 5, 2017 · 4:57 pm EDT

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	Oct 4, 2017	C	44,202	$0.00	D	184,116	D
Common Stock, $0.01 par value^F1	Oct 4, 2017	C	55,798	$0.00	D	0	I	By Children
Class B Stock, $0.01 par value^F2	Oct 4, 2017	C	44,202	$0.00	A	9,002,599	I	By Voting Trust
Class B Stock, $0.01 par value^F3	Oct 4, 2017	C	55,798	$0.00	A	2,109,949	I	By Voting Trust-Children
Class B Stock, $0.01 par value^F4	holding	—	—		—	687,478	I	By Annuity Trust
Class B Stock, $0.01 par value^F5	holding	—	—		—	91,357	I	By Spouse
Class B Stock, $0.01 par value^F6	holding	—	—		—	247,855	I	by Spouse as Trustee
Common Stock, $0.01 par value	holding	—	—		—	121,881	I	By Company Plan

No Table II lines on this filing.

F1I disclaim beneficial ownership of these shares owned by my children.
F2I am one of four trustees of the voting trust. As shown, it holds 9,002,599 shares of Class B Stock for my benefit. I disclaim beneficial ownership of any other shares of Class B Stock in said voting trust.
F3I am one of four trustees of the voting trust. As shown, it holds 2,109,949 shares of Class B Stock for the benefit of my children. I disclaim beneficial ownership of these shares.
F4These shares are held in a grantor retained annuity trust of which I am the trustee.
F5I disclaim beneficial ownership of these shares owned by my wife.
F6I disclaim beneficial ownership of these shares held by my wife as trustee of this trust for the benefit of my descendants.