0000059478-17-000253.txt : 20171213 0000059478-17-000253.hdr.sgml : 20171213 20171213150959 ACCESSION NUMBER: 0000059478-17-000253 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170504 FILED AS OF DATE: 20171213 DATE AS OF CHANGE: 20171213 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LECHLEITER JOHN C CENTRAL INDEX KEY: 0001209281 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 171253691 MAIL ADDRESS: STREET 1: ELI LILLY AND COMPANY STREET 2: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 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 4 1 wf-form4_151319578611273.xml FORM 4 X0306 4 2017-05-04 1 0000059478 LILLY ELI & CO LLY 0001209281 LECHLEITER JOHN C LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 0 0 1 former director Common Stock 2017-05-04 5 G 0 E 11072 0 D 823219 D Common Stock 2017-05-25 5 G 0 E 387058 0 D 436161 D Common Stock 2017-05-25 5 G 0 E 387058 0 A 436160 I by wife Common Stock 21367 I 401(k) Common Stock 22589 I by family limited partnership Common Stock 72140 I The John C. Lechleiter Spouse and Descendants Trust dtd 11/1/12 Reflects number of shares owned as of May 31, 2017. Reporting person disclaims beneficial ownership of these shares. Family limited partnership of which reporting person and his wife are the general partners. Reporting person disclaim beneficial ownership of shares held by family limited partnership except to the extent of his pecuniary interest therein. Irrevocable trust for the benefit of reporting person's spouse and children. Spouse is trustee. Reporting person disclaims beneficial ownership of these shares. Reporting person ceased to be a director as of May 31, 2017. Bronwen Mantlo for John C. Lechleiter, authorization on file 2017-12-13