0001214659-18-001781.txt : 20180305 0001214659-18-001781.hdr.sgml : 20180305 20180305162027 ACCESSION NUMBER: 0001214659-18-001781 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180302 FILED AS OF DATE: 20180305 DATE AS OF CHANGE: 20180305 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: UAW Retiree Medical Benefits Trust CENTRAL INDEX KEY: 0001480561 STATE OF INCORPORATION: XX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-34960 FILM NUMBER: 18666283 BUSINESS ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 BUSINESS PHONE: 313-324-5928 MAIL ADDRESS: STREET 1: 200 WALKER STREET CITY: DETROIT STATE: MI ZIP: 48207 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: General Motors Co CENTRAL INDEX KEY: 0001467858 STANDARD INDUSTRIAL CLASSIFICATION: MOTOR VEHICLES & PASSENGER CAR BODIES [3711] IRS NUMBER: 270756180 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 300 RENAISSANCE CENTER CITY: DETROIT STATE: MI ZIP: 48265-3000 BUSINESS PHONE: 313.667.1500 MAIL ADDRESS: STREET 1: 300 RENAISSANCE CENTER CITY: DETROIT STATE: MI ZIP: 48265-3000 4 1 marketforms-41262.xml PRIMARY DOCUMENT X0306 4 2018-03-02 0001467858 General Motors Co GM 0001480561 UAW Retiree Medical Benefits Trust P.O. BOX 14309 DETROIT MI 48214 true false false false Common Stock 2018-03-02 4 S false 40000000 39.71 D 100150000 D Pursuant to the Stockholders Agreement entered into as of October 15, 2009 by and among General Motors Company (the "Issuer") and the UAW Retiree Medical Benefits Trust (the "Reporting Person"), the Reporting Person has the right to designate one nominee to the Issuer's Board of Directors for so long as the Reporting Person's holding of shares of the Issuer's common stock exceeds a specified ownership threshold, subject to the consent of the International Union, United Automobile, Aerospace and Agricultural Implement Workers of America and approval by the Issuer's Board of Directors (not to be unreasonably withheld). The Reporting Person hereby disclaims beneficial ownership of any securities owned by its director nominee. Alain Lebec is signing on behalf of the Reporting Person pursuant to the UAW Retiree Medical Benefits Trust Independent Fiduciary Agreement (Relating to General Motors Company) dated as of August 8, 2011, by and between the Reporting Person and Brock Fiduciary Services LLC. The Reporting Person may be deemed to be a member of a "group" for purposes of Section 13 of the Securities Exchange Act of 1934, as amended. The Reporting Person disclaims beneficial ownership of any securities deemed to be owned by such group that are not directly owned by the Reporting Person. /s/ Alain Lebec, Senior Managing Director of Brock Fiduciary Services LLC, as Independent Fiduciary to the Reporting Person (solely for the benefit of the GM Separate Retiree Account) 2018-03-05