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*
EWANICK JOEL

(Last) (First) (Middle)
300 RENAISSANCE CENTER
M/C: 482-C25-A36

(Street)
DETROIT MI 48265-3000

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
02/01/2011
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)
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 800 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
Salary Stock Units(1)(2) (3) (3) Common Stock 3,474(4) (5) D
Salary Stock Units(1)(6) (3) (3) Common Stock 5,211(4) (5) D
Salary Stock Units(1)(7) (3) (3) Common Stock 2,550(4) (5) D
Explanation of Responses:
1. Pursuant to the Company's Salary Stock Plan (the "GMSSP") each Salary Stock Unit is fully vested upon grant and represents a right to receive one share of the Company's common stock on the applicable settlement date (with certain exceptions); provided, however, that any settlement before May 17, 2011 will be made by the delivery in cash in an amount equal to the Fair Market Value (as defined in the GMSSP) of the Company's common stock as of the applicable anniversary date of the SSU's grant.
2. The SSUs reported in this item were awarded on June 30, 2010 and will be settled in three equal, annual installments beginning on June 30, 2011.
3. The SSUs do not have an expiration or exercise price.
4. On November 1, 2010, the Company amended its certificate of incorporation to effect a stock split in which each issued and outstanding share of common stock was converted into three shares of common stock. Pursuant to the terms of the GMSSP, each issued and outstanding SSU was automatically converted into three SSUs, so that the June 30, 2010 grant of 1,158 SSUs has been converted into 3,474 SSUs and the September 30, 2010 grant of 1,737 SSUs has been converted into 5,211 SSUs.
5. The SSUs do not carry a conversion or exercise price.
6. The SSUs reported in this item were awarded on September 30, 2010 and will be settled in three equal, annual installments beginning on September 30, 2011.
7. The SSUs reported in this item were awarded on December 31, 2010 and will be settled in three equal, annual installments beginning on December 31, 2011.
/s/ Anne T. Larin, attorney-in-fact for Mr. Ewanick 02/01/2011
** 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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