0000059478-22-000052.txt : 20220211
0000059478-22-000052.hdr.sgml : 20220211
20220211183155
ACCESSION NUMBER: 0000059478-22-000052
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220209
FILED AS OF DATE: 20220211
DATE AS OF CHANGE: 20220211
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Skovronsky Daniel
CENTRAL INDEX KEY: 0001741474
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-06351
FILM NUMBER: 22623508
MAIL ADDRESS:
STREET 1: 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_164462229151272.xml
FORM 4
X0306
4
2022-02-09
0
0000059478
ELI LILLY & Co
LLY
0001741474
Skovronsky Daniel
LILLY CORPORATE CENTER
INDIANAPOLIS
IN
46285
0
1
0
0
SVP, CS&MO & Pres. LRL
Common Stock
2022-02-09
4
A
0
22581
243.27
A
78559
D
Common Stock
70000
I
By Trust
Restricted Stock Unit
2022-02-09
4
A
0
15675
0
A
2023-02-01
2023-02-01
Common Stock
15675.0
15675
D
The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein.
Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock.
/s/ Jonathan Groff for Daniel Skovronsky, authorization on file
2022-02-11