SEC FORM
4
SEC Form 4
FORM 4 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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OMB APPROVAL |
OMB Number: |
3235-0287 |
Estimated average burden |
hours per response: |
0.5 |
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b). |
1. Name and Address of Reporting Person*
300 RENAISSANCE CENTER |
M/C: 482-C25-A36 |
(Street)
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2. Issuer Name and Ticker or Trading Symbol
General Motors Co
[ NO SYMBOL ]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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Director |
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10% Owner |
X |
Officer (give title below) |
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Other (specify below) |
Vice President |
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3. Date of Earliest Transaction
(Month/Day/Year) 03/15/2010
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4. If Amendment, Date of Original Filed
(Month/Day/Year)
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6. Individual or Joint/Group Filing (Check Applicable Line)
X |
Form filed by One Reporting Person |
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Form filed by More than One Reporting Person |
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |
1. Title of Security (Instr.
3)
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2. Transaction Date
(Month/Day/Year) |
2A. Deemed Execution Date, if any
(Month/Day/Year) |
3. Transaction Code (Instr.
8)
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4. Securities Acquired (A) or Disposed Of (D) (Instr.
3, 4 and 5)
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5.
Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr.
3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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7. Nature of Indirect Beneficial Ownership (Instr.
4)
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Code |
V |
Amount |
(A) or (D) |
Price |
Common Stock
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03/31/2010 |
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M |
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1,198 |
A |
$0
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1,198 |
D |
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Common Stock
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03/31/2010 |
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D |
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587 |
D |
$53.98
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611 |
D |
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Common Stock
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03/31/2010 |
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F |
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611 |
D |
$53.98
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0 |
D |
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Common Stock
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06/30/2010 |
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M |
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1,198 |
A |
$0
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1,198 |
D |
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Common Stock |
06/30/2010 |
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D |
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587 |
D |
$53.98
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611 |
D |
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Common Stock |
06/30/2010 |
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F |
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611 |
D |
$53.98
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0 |
D |
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Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivative Security (Instr.
3)
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2. Conversion or Exercise Price of Derivative Security
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3. Transaction Date
(Month/Day/Year) |
3A. Deemed Execution Date, if any
(Month/Day/Year) |
4. Transaction Code (Instr.
8)
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5.
Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr.
3, 4 and 5)
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6. Date Exercisable and Expiration Date
(Month/Day/Year) |
7. Title and Amount of Securities Underlying Derivative Security (Instr.
3 and 4)
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8. Price of Derivative Security (Instr.
5)
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9.
Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr.
4)
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10. Ownership Form: Direct (D) or Indirect (I) (Instr.
4)
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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 |
Restricted Stock Units
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$0
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03/15/2010 |
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A |
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12,087 |
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Common Stock |
12,087 |
$0
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12,087 |
D |
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Salary Stock Units
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$0
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03/31/2010 |
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A |
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6,175 |
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Common Stock |
6,175 |
$0
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6,175 |
D |
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Salary Stock Units
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$0
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03/31/2010 |
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M |
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1,198 |
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Common Stock |
1,198 |
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2,396 |
D |
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Salary Stock Units
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$0
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06/30/2010 |
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A |
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6,175 |
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Common Stock |
6,175 |
$0
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6,175 |
D |
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Salary Stock Units
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$0
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06/30/2010 |
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M |
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1,198 |
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Common Stock |
1,198 |
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2,396 |
D |
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Explanation of Responses: |
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/s/ Anne T. Larin, attorney-in-fact for Mr. Reilly |
07/02/2010 |
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** 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. |
POWER OF ATTORNEY
I am a director and/or officer of General Motors Company ("GM") and as
such I may be required to file with the Securities and Exchange
Commission ("SEC") one or more Forms 3, 4 and 5 under Section 16 of
the Securities Exchange Act of 1934 ("Section 16") and the rules
promulgated by the SEC under Section 16, and Form 144 under Rule 144
promulgated by the SEC under the Securities Act of 1933 ("Rule 144").
I appoint each of Marianne Carson, Anne T. Larin, Robert Shrosbree,
and Tia Y. Turk as my attorney-in-fact to:
1. Execute Forms 3, 4, 5, and 144 or any amendments to those Forms for
me in my name and file such Forms and amendments with the SEC and any
stock exchange or similar authority as required by law or rule on my
behalf;
2. Do anything on my behalf that may be necessary or desirable to
complete and execute such Forms 3, 4, 5, or 144 or any amendment
to those Forms and to file those Forms or amendments on a timely
basis; and
3. Take any other action in connection with those Forms or amendments
that may be legally required or appropriate, in the opinion of the
attorney-in-fact taking the action.
I give each attorney-in-fact the power and authority to do anything
that is required or appropriate in using his or her powers as
attorney-in-fact, to the extent that I could act if I were personally
present, with full power of substitution. I agree to everything that
these attorneys-in-fact (including any substitutes for them) do under
this Power of Attorney that is consistent with its terms.
I acknowledge that complying with Section 16 and Rule 144 as they apply
to me is my responsibility and that neither GM nor any of these
attorneys-in-fact is assuming my responsibilities in that regard.
This Power of Attorney will remain in effect until I am no longer
required to make filings under Section 16 or Rule 144, unless I inform
these attorneys-in-fact in writing that I have revoked this Power,
which I can do at any time.
_________________________________
Signature
Print name:_________________________
Subscribed and sworn to before me
this _____ day of ______, 2010.
_____________________________
Notary Public