0000059478-17-000012.txt : 20170127 0000059478-17-000012.hdr.sgml : 20170127 20170127114740 ACCESSION NUMBER: 0000059478-17-000012 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20161231 FILED AS OF DATE: 20170127 DATE AS OF CHANGE: 20170127 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LILLY ELI & CO CENTRAL INDEX KEY: 0000059478 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 350470950 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: LILLY CORPORATE CTR STREET 2: DROP CODE 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 BUSINESS PHONE: 3172762000 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER STREET 2: DROP CODE 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rice Derica W CENTRAL INDEX KEY: 0001359067 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 17552497 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 5 1 wf-form5_148553562181482.xml FORM 5 X0306 5 2016-12-31 0 0 0 0000059478 LILLY ELI & CO LLY 0001359067 Rice Derica W LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 EVP-Global Services and CFO Common Stock 2016-02-08 5 G 0 36931 0 D 0 D Common Stock 7396 I 401(k) Common Stock 2016-02-08 5 G 0 36931 0 A 366137 I by wife Common Stock 2016-03-21 5 G 0 78 0 D 366059 I by wife Common Stock 2016-12-16 5 G 0 400 0 D 365659 I by wife Common Stock 1905 I 401(k) - by wife Reporting person disclaims beneficial ownership of these shares. Derica W. Rice 2017-01-06 EX-24 2 ricepoa.htm RICE_POA



Derica W. Rice
Lilly Corporate Center
Indianapolis, Indiana  46285



Securities and Exchange Commission
Washington, D.C.  20549

AuthorizationRegardingReportingForms

I hereby authorize and designate the following persons to sign and file with the Commission on my behalf Forms 3, 4, and 5 (including any amendments thereto) covering my transactions and holdings in the common stock and other equity securities of Eli Lilly and Company as required by Section 16 of the Securities Exchange Act of 1934 and the rules thereunder:

    Michael J. Harrington, Lilly Corporate Center, Indianapolis, Indiana

    Bronwen L. Mantlo, Lilly Corporate Center, Indianapolis, Indiana

    Tiffany R. Benjamin, Lilly Corporate Center, Indianapolis, Indiana

This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission.


Date: July 22, 2016




/s/ Derica W. Rice