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
 
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Harvey Rory

(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)
06/01/2023
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 13,779 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) 02/13/2029 Common Stock 3,655 39 D
Employee Stock Option (Right to Buy) (2) 02/12/2030 Common Stock 10,952 35.49 D
Employee Stock Option (Right to Buy) (3) 02/18/2031 Common Stock 6,600 52.16 D
Employee Stock Option (Right to Buy) (4) 02/08/2032 Common Stock 13,378 49.46 D
Employee Stock Option (Right to Buy) (5) 02/07/2033 Common Stock 16,956 41.4 D
Explanation of Responses:
1. These Stock Options were granted on February 13, 2019 and are fully vested.
2. These Stock Options were granted on February 12, 2020 and are fully vested.
3. These Stock Options were granted on February 18, 2021. Two-thirds have vested, and one-third will vest on February 18, 2024.
4. These Stock Options were granted on February 8, 2022. One-third has vested; one-third will vest on February 8, 2024; and one-third will vest February 8, 2025.
5. These Stock Options were granted on February 7, 2023. One-third will vest on February 7, 2024; one-third will vest on February 7, 2025; and one-third will vest on February 7, 2026.
Remarks:
/s/ Tia Y. Turk, Attorney-in-Fact for Mr. Harvey 06/06/2023
** 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.
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.
poa-harveyrory042023xexe