0000059478-21-000248.txt : 20211230 0000059478-21-000248.hdr.sgml : 20211230 20211230160944 ACCESSION NUMBER: 0000059478-21-000248 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211228 FILED AS OF DATE: 20211230 DATE AS OF CHANGE: 20211230 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Van Naarden Jacob CENTRAL INDEX KEY: 0001661254 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 211532943 MAIL ADDRESS: STREET 1: C/O ELI LILLY & CO STREET 2: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ELI LILLY & 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 1094 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 BUSINESS PHONE: 3172762000 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER STREET 2: DROP CODE 1094 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 FORMER COMPANY: FORMER CONFORMED NAME: LILLY ELI & CO DATE OF NAME CHANGE: 19941024 4 1 wf-form4_164089857090230.xml FORM 4 X0306 4 2021-12-28 0 0000059478 ELI LILLY & Co LLY 0001661254 Van Naarden Jacob LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 SVP, CEO LoxoONC, Pres LlyONC Restricted Stock Unit 2021-12-28 4 A 0 3618 0 A Common Stock 3618.0 3618 D Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. The restricted stock units vest on February 1, 2024. Jonathan Groff for Jacob Van Naarden, authorization on file 2021-12-30