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UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549STATEMENT 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 1474 (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 Following Reported Transaction(s) (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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Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||||||
Warrants (1) (2) | $ 9.2 | 03/31/2010 | J(2) | 362,391,305 | 12/31/2009 | 01/01/2013 | Ford Common Stock (2) | 362,391,305 | $ 5 | 0 | D |
Reporting Owner Name / Address | Relationships | |||
Director | 10% Owner | Officer | Other | |
UAW Retiree Medical Benefits Trust 200 WALKER STREET DETROIT, MI 48207 |
Former 10% Owner (1) (2) |
Mary Beth Kuderik, Chief Financial Officer | 04/01/2010 | |
**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) | This Form 4 is being filed on behalf of The UAW Retiree Medical Benefits Trust, organized as a 501(c)(9) Voluntary Employee Beneficiary Association (the "UAW RMBT"). Until January 29, 2010, the UAW RMBIT indirectly held the warrants to purchase 362,391,305 shares of Ford Common Stock (the "Warrants") through a wholly owned subsidiary, VEBA-F Holdings, a Delaware limited liability company (the "LLC"). On January 29, 2010, the LLC was formally dissolved and all of its assets, including the Warrants, were transferred to its sole shareholder, the UAW RMBT. |
(2) | On March 30, 2010 an auction was held in which the UAW RMBT sold all of its 362,391,305 Warrants. The trade date for the sale of the Warrants was March 31, 2010 and the closing is expected to occur on or about April 6, 2010, subject to customary closing conditions. The Warrants have been listed for trading on The New York Stock Exchange under the symbol "F WS." |