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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549ANNUAL STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940 |
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number. | SEC 2270 (9-02) |
1. Title of Derivative Security (Instr. 3) |
2. Conversion or Exercise Price of Derivative Security | 3. Transaction Date (Month/Day/Year) | 3A. Deemed Execution Date, if any (Month/Day/Year) | 4. Transaction Code (Instr. 8) |
5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5) |
6. Date Exercisable and Expiration Date (Month/Day/Year) |
7. Title and Amount of Underlying Securities (Instr. 3 and 4) |
8. Price of Derivative Security (Instr. 5) |
9. Number of Derivative Securities Beneficially Owned at End of Issuer's Fiscal Year (Instr. 4) |
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) |
11. Nature of Indirect Beneficial Ownership (Instr. 4) |
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(A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | |||||||||
BEP Ford Stock Fund Units | Â | Â | Â | Â | Â | Â | Â (1) | Â (1) | Common Stock, $0.01 par value | Â | 3,801 (1) | Â | ||
Employee Stock Option (Right to Buy) | $ 16.91 | Â | Â | Â | Â | Â | Â (2) | 03/14/2012 | Common Stock, $0.01 par value | Â | 43,000 (2) | Â | ||
Employee Stock Option (Right to Buy) | $ 7.55 | Â | Â | Â | Â | Â | Â (3) | 03/04/2017 | Common Stock, $0.01 par value | Â | 545,103 (3) | Â | ||
Employee Stock Option (Right to Buy) | $ 6.14 | Â | Â | Â | Â | Â | Â (4) | 03/04/2018 | Common Stock, $0.01 par value | Â | 167,707 (4) | Â | ||
Employee Stock Option (Right to Buy) | $ 1.96 | Â | Â | Â | Â | Â | Â (5) | 03/10/2019 | Common Stock, $0.01 par value | Â | 348,019 (5) | Â | ||
Employee Stock Option (Right to Buy) | $ 12.69 | Â | Â | Â | Â | Â | Â (6) | 03/02/2020 | Common Stock, $0.01 par value | Â | 76,282 (6) | Â | ||
Employee Stock Option (Right to Buy) | $ 14.76 | Â | Â | Â | Â | Â | Â (7) | 03/02/2021 | Common Stock, $0.01 par value | Â | 88,443 (7) | Â | ||
Ford Stock Units | Â | Â | Â | Â | Â | Â | Â (8) | Â (8) | Common Stock, $0.01 par value | Â | 170,369 (8) | Â | ||
Ford Stock Units | Â | Â | Â | Â | Â | Â | Â (9) | Â (9) | Common Stock, $0.01 par value | Â | 8,421 (9) | Â | ||
Ford Stock Units | Â | Â | Â | Â | Â | Â | Â (9) | Â (9) | Common Stock, $0.01 par value | Â | 31,717 (9) | Â |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
KUZAK DERRICK M FORD MOTOR COMPANY ONE AMERICAN ROAD DEARBORN, MI 48124 |
 |  |  Group Vice President |  |
Jerome F. Zaremba, Attorney-in-Fact | 02/10/2012 | |
**Signature of Reporting Person | Date |
* | If the form is filed by more than one reporting person, see Instruction 4(b)(v). |
** | Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). |
(1) | These Ford Stock Fund Units were credited to my account by the Company, in transactions exempt under Rule 16b-3(c), under the Company's Deferred Compensation Plan, and included in my most recent plan statement. In general, these Ford Stock Fund Units will be converted and distributed to me, without payment, in cash, following termination of employment, based on the then current price of a Ford Stock Fund Unit and the then current market value of a share of Common Stock. |
(2) | The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/15/2002), 66% after two years, and in full after three years. |
(3) | The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/05/2007), 66% after two years, and in full after three years. |
(4) | The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/05/2008), 66% after two years, and in full after three years. |
(5) | The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/11/2009), 66% after two years, and in full after three years. |
(6) | The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/03/2010), 66% after two years, and in full after three years. |
(7) | The option became exercisable to the extent of 33% of the shares optioned after one year from the date of grant (03/03/2011), 66% after two years, and in full after three years. |
(8) | These 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 on March 3, 2012. |
(9) | These 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 on March 3, 2013. |