Form 3 FORD MOTOR CO For: Dec 01 Filed by: Chen Anning
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| FORM
3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF
SECURITIES
Filed pursuant to Section 16(a) of the
Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act
of 1940
|
| OMB APPROVAL |
| OMB Number: |
3235-0104 |
| Expires: |
December 31, 2014 |
| Estimated average burden |
| hours per response: |
0.5 |
|
|
1. Name and Address of Reporting Person
*
(Street)
|
2. Date of Event Requiring Statement
(Month/Day/Year)
12/01/2018
|
3. Issuer Name
and
Ticker or Trading Symbol
FORD MOTOR CO
[
F
]
|
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
|
Director |
|
10% Owner |
| X |
Officer (give title below) |
|
Other (specify below) |
| Group Vice President |
|
5. If Amendment, Date of Original Filed
(Month/Day/Year)
|
6. Individual or Joint/Group Filing (Check
Applicable Line)
| X |
Form filed by One Reporting Person |
|
Form filed by More than One Reporting
Person |
|
| Table I - Non-Derivative Securities Beneficially Owned |
|---|
| 1. Title of Security (Instr.
4)
|
2.
Amount of Securities Beneficially Owned (Instr.
4)
|
3. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
4. Nature of Indirect Beneficial Ownership (Instr.
5)
|
|
No securities owned.
|
0
|
D
|
|
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
|
|---|
| 1. Title of Derivative Security (Instr.
4)
|
2. Date Exercisable and Expiration Date
(Month/Day/Year) |
3. Title and Amount of Securities Underlying Derivative Security (Instr.
4)
|
4. Conversion or Exercise Price of Derivative Security
|
5. Ownership Form: Direct (D) or Indirect (I) (Instr.
5)
|
6. Nature of Indirect Beneficial Ownership (Instr.
5)
|
| Date Exercisable |
Expiration Date |
Title |
Amount or Number of Shares |
|
No derivative securities owned.
|
|
|
No securities owned.
|
0
|
(1)
|
D
|
|
| Explanation of Responses: |
|
|
Jerome F. Zaremba,
Attorney-in-Fact |
12/06/2018 |
|
** Signature of Reporting Person |
Date |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. |
| * 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). |
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure. |
| 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 Number. |
Ford Motor Company
One American Road
P.O. Box 1899
Dearborn, Michigan 48126
October 11, 2018
Securities and Exchange Commission
450 Fifth Street N.W.
Washington, D.C. 20549
Authority to Sign Reports under Section 16(a)
of the Securities Exchange Act of 1934 or
Rule 144 under the Securities Act of 1933
Ladies and Gentlemen:
Please let this letter serve to confirm the authority I have granted, effective
immediately, to Douglas J. Cropsey, Corey M. MacGillivray, Jonathan E. Osgood,
and Jerome F. Zaremba to execute and file with the Securities and Exchange
Commission and other relevant securities exchanges forms, reports, notices and
any other documents required of me under Section 16(a) of the Securities
Exchange Act of 1934 or Rule 144 under the Securities Act of 1933.
This authority shall remain in effect until I have notified you in writing of
its termination.
Sincerely,
/s/Dr. Anning Chen
Dr. Anning Chen
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