SEC FORM 3 SEC Form 3
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
 
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1. Name and Address of Reporting Person *
Blissett Julian G.

(Last) (First) (Middle)
300 RENAISSANCE CENTER
M/C: 482-C24-A68

(Street)
DETROIT MI 48265

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
04/27/2020
3. Issuer Name and Ticker or Trading Symbol
General Motors Co [ GM ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Executive 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)
Common Stock 12,830 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
Employee Stock Option (Right to Buy) (1) 02/15/2020 07/28/2025 Common Stock 30,976 31.32 D
Employee Stock Option (Right to Buy) (2) 02/14/2020 06/07/2027 Common Stock 15,533 34.34 D
Employee Stock Option (Right to Buy) (3) (3) 02/11/2028 Common Stock 14,013 41.4 D
Employee Stock Option (Right to Buy) (4) (4) 02/13/2029 Common Stock 14,875 39 D
Employee Stock Option (Right to Buy) (5) (5) 02/13/2029 Common Stock 15,940 37.76 D
Employee Stock Option (Right to Buy) (6) (6) 02/12/2030 Common Stock 37,823 35.49 D
Employee Stock Option (Right to Buy) (7) (7) 02/12/2030 Common Stock 31,754 19.26 D
Explanation of Responses:
1. These Stock Options were granted on July 28, 2015, under the Company's 2014 Long-Term Incentive Plan and are fully vested.
2. These Stock Options were granted on June 7, 2017, under the Company's 2017 Long-Term Incentive Plan (the "2017 LTIP") and are fully vested.
3. These Stock Options were granted on February 13, 2018, under the Company's 2017 LTIP. Two-thirds have vested, and one-third will vest on February 13, 2021.
4. These Stock Options were granted on February 13, 2019, under the Company's 2017 LTIP. One-third has vested; one-third will vest on February 13, 2021; and one-third will vest on February 13, 2022.
5. These Stock Options were granted on April 1, 2019, under the Company's 2017 LTIP. One-third has vested; one-third will vest on February 13, 2021; and one-third will vest on February 13, 2022.
6. These Stock Options were granted on February 12, 2020, under the Company's 2017 LTIP. One-third will vest on February 12, 2021; one-third will vest on February 12, 2022; and one-third will vest on February 12, 2023.
7. These Stock Options were granted on April 1, 2020, under the Company's 2017 LTIP. One-third will vest on February 12, 2021; one-third will vest on February 12, 2022; and one-third will vest on February 12, 2023.
Remarks:
/s/ Tia Y. Turk, Attorney-in-Fact for Mr. Blissett 04/29/2020
** 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 5 (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.
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poablissett042020