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