0000059478-22-000065.txt : 20220217
0000059478-22-000065.hdr.sgml : 20220217
20220217164449
ACCESSION NUMBER: 0000059478-22-000065
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220216
FILED AS OF DATE: 20220217
DATE AS OF CHANGE: 20220217
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: 22648831
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_164513426243246.xml
FORM 4
X0306
4
2022-02-16
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
Common Stock
2022-02-16
4
M
0
5461
0
A
10153
D
Common Stock
2022-02-16
4
F
0
2186
243.84
D
7967
D
Common Stock
4342
I
Van Naarden Family Trust
Restricted Stock Unit
2022-02-16
4
M
0
5461
0
D
2022-02-16
2022-02-16
Common Stock
5461.0
0
D
The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that the reporting person is the beneficial owner of the reported securities for purposes of Section 16 or for any other purpose.
Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock.
/s/ Jonathan Groff for Jacob Van Naarden, authorization on file
2022-02-17