0000059478-17-000066.txt : 20170203 0000059478-17-000066.hdr.sgml : 20170203 20170203145307 ACCESSION NUMBER: 0000059478-17-000066 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170201 FILED AS OF DATE: 20170203 DATE AS OF CHANGE: 20170203 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: Fry Stephen F CENTRAL INDEX KEY: 0001513324 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 17571735 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 4 1 wf-form4_148615157396403.xml FORM 4 X0306 4 2017-02-01 0 0000059478 LILLY ELI & CO LLY 0001513324 Fry Stephen F LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 SVP, HR & Diversity Common Stock 2017-02-01 4 M 0 7683 0 A 82552 D Common Stock 2017-02-01 4 F 0 3608 77.03 D 78944 D Common Stock 164 I 401(k) Restricted Stock Unit 2017-02-01 4 M 0 7683 0 D 2017-02-01 2017-02-01 Common Stock 7683.0 0 D Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. Tiffany R. Benjamin for Stephen F. Fry, authorization on file 2017-02-02