0001179110-21-009593.txt : 20211022 0001179110-21-009593.hdr.sgml : 20211022 20211022162237 ACCESSION NUMBER: 0001179110-21-009593 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211020 FILED AS OF DATE: 20211022 DATE AS OF CHANGE: 20211022 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Urbanek David Alan CENTRAL INDEX KEY: 0001752446 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38661 FILM NUMBER: 211340766 MAIL ADDRESS: STREET 1: 2500 INNOVATION WAY CITY: GREENFIELD STATE: IN ZIP: 46140 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Elanco Animal Health Inc CENTRAL INDEX KEY: 0001739104 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 825497352 FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2500 INNOVATION WAY CITY: GREENFIELD STATE: IN ZIP: 46140 BUSINESS PHONE: 877-352-6261 MAIL ADDRESS: STREET 1: 2500 INNOVATION WAY CITY: GREENFIELD STATE: IN ZIP: 46140 4 1 edgar.xml FORM 4 - X0306 4 2021-10-20 0 0001739104 Elanco Animal Health Inc ELAN 0001752446 Urbanek David Alan C/O ELANCO ANIMAL HEALTH INCORPORATED 2500 INNOVATION WAY GREENFIELD IN 46140 0 1 0 0 See Remarks Common Stock 2021-10-20 4 F 0 3042 33.66 D 70242 D Common Stock 76 I By son Common Stock 76 I By daughter Common Stock 76 I By son Represents shares tendered to the Company to cover the Reporting Person's tax liability upon vesting of restricted stock units previously awarded under the 2018 Elanco Stock Plan. Executive Vice President, Manufacturing and Quality /s/ Jinee L. Majors, as Attorney-in-Fact for David A. Urbanek 2021-10-22