-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, UUZKAh1X8eUV9M+Y3n2Xq4WvCO8gmLFdj3+EZiBovE42mZ5xHOTy+e8u480cQ33x Z269CfRVhQuVKIlkn/e69w== 0000903423-11-000085.txt : 20110214 0000903423-11-000085.hdr.sgml : 20110214 20110214132442 ACCESSION NUMBER: 0000903423-11-000085 CONFORMED SUBMISSION TYPE: SC 13G PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20110214 DATE AS OF CHANGE: 20110214 SUBJECT COMPANY: 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 FILING VALUES: FORM TYPE: SC 13G SEC ACT: 1934 Act SEC FILE NUMBER: 005-86002 FILM NUMBER: 11604668 BUSINESS ADDRESS: STREET 1: 300 RENAISSANCE CENTER CITY: DETROIT STATE: MI ZIP: 48265-3000 BUSINESS PHONE: 313.556.5000 MAIL ADDRESS: STREET 1: 300 RENAISSANCE CENTER CITY: DETROIT STATE: MI ZIP: 48265-3000 FILED BY: COMPANY DATA: COMPANY CONFORMED NAME: UAW Retiree Medical Benefits Trust CENTRAL INDEX KEY: 0001480561 IRS NUMBER: 900424876 STATE OF INCORPORATION: XX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: SC 13G 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 SC 13G 1 uawgeneral-13g_0211.htm Unassociated Document


SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.  20549 
 
 
SCHEDULE 13G


 
Under the Securities Exchange Act of 1934
 

 
INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT TO
RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED PURSUANT TO RULE 13d-2(b)
 
(Amendment No. ______)*
 

General Motors Company
(Name of Issuer)
 
Common Stock
(Title of Class of Securities)
 
37045V100
(CUSIP Number)
 
December 31, 2010
(Date of Event which Requires Filing of this Statement)
 
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
 
o Rule 13d-1(b)
o Rule 13d-1(c)
x Rule 13d-1(d)
 
 
* The remainder of this cover page shall be filled out of a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter disclosures provided in a prior cover page.
 
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
 
 
 
 


CUSIP No:  37045V100
13G
    
1
NAME OF REPORTING PERSON
I.R.S. IDENTIFICATION NO. OF ABOVE PERSON (ENTITIES ONLY)
 
UAW Retiree Medical Benefits Trust
 
  
2
CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP
 (a) o
 (b) x
  
3
SEC USE ONLY
 
 
  
4
CITIZENSHIP OR PLACE OF ORGANIZATION
 
None.  Organized as a 501(c)(9) Voluntary Employee Beneficiary Association.
  
 
 
NUMBER OF
5.
SOLE VOTING POWER
 
0
 
SHARES
BENEFICIALLY
OWNED BY
6.
SHARED VOTING POWER
 
205,604,545 (See Item 4(c)(ii))
  
EACH
REPORTING
PERSON
7.
SOLE DISPOSITIVE POWER
 
0
  
WITH:
8.
SHARED DISPOSITIVE POWER
 
205,604,545 (See Item 4(c)(iv))
  
9
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
 
205,604,545 (See Item 4(a))
  
10
CHECK BOX IF THE AGGREGATE AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES        o
 
  
11
PERCENT OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
 
12.8% (See Item 4(b))
  
12
TYPE OF REPORTING PERSON 
 
EP
  
 
 
 
 


Item 1(a).
Name of Issuer:
 
General Motors Company (the “Issuer”)
 
Item 1(b).
Address of Issuer’s Principal Executive Offices:
 
300 Renaissance Center, Detroit, Michigan, 48265
 
Item 2(a).
Name of Person Filing:
 
This Schedule 13G is being filed on behalf of the UAW Retiree Medical Benefits Trust, organized as a 501(c)(9) Voluntary Employee Beneficiary Association (“UAW RMBT”).
 
Item 2(b).
Address of Principal Business Office or, if None, Residence:
 
200 Walker Street, Detroit, MI  48207

Item 2(c).
Citizenship:
 
None.  UAW RMBT is organized as a 501(c)(9) Voluntary Employee Beneficiary Association.
 
Item 2(d).
Title of Class of Securities:
 
Common Stock (“Common Stock”)
 
Item 2(e).
CUSIP Number:
 
37045V100
 
Item 3.
If this Statement is Filed Pursuant to Rule 13d-1(b), or 13d-2(b) or (c), Check Whether the Person Filing is a:
 
 
(a)
o Broker or dealer registered under Section 15 of the Exchange Act.
 
 
(b)
o Bank as defined in Section 3(a)(6) of the Exchange Act.
 
 
(c)
o Insurance company as defined in Section 3(a)(19) of the Exchange Act.
 
 
(d)
o Investment company registered under Section 8 of the Investment Company Act of 1940 (15 U.S.C 80a-8).
 
 
(e)
o Investment adviser in accordance with Rule 13d-1(b)(1)(ii)(E).
 
 
(f)
o Employee benefit plan or endowment fund in accordance with Rule 13d-1(b)(1)(ii)(F).
 
 
(g)
o Parent holding company or control person in accordance with Rule 13d-1(b)(1)(ii)(G).
 
 
(h)
o Savings association as defined in Section 3(b) of the Federal Deposit Insurance Act.
 
 
(i)
o Church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act.
 
 
(j)
o Group in accordance with §240.13d-1(b)(1)(ii)(J).
 
If this statement is filed pursuant to Rule 13d-1(c), check this box. [ ]
 
 
 
 
Item 4.
Ownership.
 
 
(a)
Amount beneficially owned:  205,604,545 shares of Common Stock.  This amount is based on UAW RMBT’s ownership of 160,150,000 shares of Common Stock and 45,454,545 warrants (each, a “Warrant”) each exercisable for one share of Common Stock .
 
 
(b)
Percent of class:  12.8%.  This percentage is based on a total of 1,500,000,000 shares of Common Stock outstanding as reported on the prospectus filed by the Issuer on November 18, 2010, pursuant to Rule 424(b)(1) of the Securities Exchange Act of 1933, plus an additional 45,454,545 shares of unissued Common Stock for which the Warrants may be exchanged, plus an additional 60,600,000 shares contributed by the Issuer to its U.S. hourly and salaried pension plan trusts on January 13, 2011 as disclosed on the Issuer’s Current Report on Form 8-K filed January 20, 2011.  Prior to this issuance, as of December 31, 2010, UAW RMBT owned 13.3% of the outstanding Common Stock.
 
 
(c)
Number of shares as to which such person has:
 
(i)      Sole power to vote or to direct the vote:
 
          0
 
(ii)      Shared power to vote or to direct the vote:
 
          205,604,545 shares of Common Stock.  This amount is based on UAW RMBT’s ownership of 160,150,000 shares of Common Stock and 45,454,545 Warrants.
 
(iii)    Sole power to dispose or to direct the disposition of:
 
          0       
 
(iv)     Shared power to dispose or to direct the disposition of:
         
           205,604,545 shares of Common Stock.  This amount is based on UAW RMBT’s ownership of 160,150,000 shares of Common Stock and 45,454,545 Warrants.
 
Item 5.
Ownership of Five Percent or Less of a Class.
 
If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following. o
 
Item 6.
Ownership of More than Five Percent on Behalf of Another Person.
 
Not applicable.
 
Item 7.
Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on by the Parent Holding Company.
 
Not applicable.
 
Item 8.
Identification and Classification of Members of the Group.
 
UAW RMBT is party to a Stockholders Agreement dated as of October 15, 2009 (the “Stockholders Agreement”), by and among the Issuer, United States Department of the Treasury (“UST”), 7176384 Canada Inc. (since renamed Canada GEN Investment Corporation, “Canada GEN”) , UAW RMBT and, solely for the purposes of Section 6.20 thereof, General Motors LLC.  The Stockholders Agreement was filed as Exhibit 10.8 to the Current Report on Form 8-K filed by the Issuer on November 16, 2009.
 
 
 
 
The Stockholders Agreement provides UAW RMBT the right to designate a director to the board of directors of the Issuer (which designation is subject to the consent of the International Union, United Automobile, Aerospace and Agricultural Implement Workers of America and, if the designated nominee is not independent within the meaning of Rule 303A.02 of the New York Stock Exchange Listed Company Manual or any successor provision, to the consent of the UST, such consent not to be unreasonably withheld) so long as UAW RMBT holds at least 50% of the shares of Common Stock it held upon its initial investment in the Issuer.  The Stockholders Agreement prevents the shareholding parties from transferring all or any portion of their Common Stock or Warrants without the consent of the Issuer’s board of directors, to either (i) any person  or group who would thereafter beneficially own more than 10% of the Common Stock, or (ii) any automotive vehicle manufacturer or affiliate thereof.
 
UAW RMBT and Canada GEN collectively have beneficial ownership of 345,689,291 shares of Common Stock, including UAW RMBT’s ownership of 45,454,545 Warrants.  As of December 31, 2010, this represented 22.4% of the outstanding Common Stock based on a total of 1,545,454,545 shares of Common Stock outstanding (including 45,454,545 unissued shares for which the Warrants are exchangeable).  Following the contribution of 60,600,000 shares by the Issuer to its U.S. hourly and salaried pension plan trusts on January 13, 2011 as disclosed on the Issuer’s Current Report on Form 8-K filed January 20, 2011, UAW RMBT and Canada GEN collectively beneficially own 21.5% of the outstanding Common Stock.  The share ownership reported by UAW RMBT does not include any shares owned by the other parties to the Sharehol ders’ Agreement, except to the extent already disclosed in this Schedule 13G.
 
Item 9.
Notice of Dissolution of Group.
 
Not applicable.
 
Item 10.
Certification.
 
Not applicable.
 

 
 
 

 
SIGNATURE
 
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
 

 
Dated:  February 14, 2011
 

 
  UAW Retiree Medical Benefits Trust
     
  By: /s/ John Miller                
 
Name:  
Title:    
John Miller
President and Chief Financial Officer of Fiduciary Counselors Inc., on behalf of UAW RMBT
 

 
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