0000059478-23-000055.txt : 20230214 0000059478-23-000055.hdr.sgml : 20230214 20230214164907 ACCESSION NUMBER: 0000059478-23-000055 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230210 FILED AS OF DATE: 20230214 DATE AS OF CHANGE: 20230214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Mason Michael B CENTRAL INDEX KEY: 0001799419 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 23630850 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_167641129919422.xml FORM 4 X0306 4 2023-02-10 0 0000059478 ELI LILLY & Co LLY 0001799419 Mason Michael B LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 EVP & Pres., Lilly Diabetes Common Stock 2023-02-10 4 A 0 8023 345.12 A 39284 D Common Stock 957 I 401(k) Restricted Stock Unit 2023-02-10 4 A 0 3490 0 A 2024-02-01 2024-02-01 Common Stock 3490.0 3490 D Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. /s/ Jonathan Groff for Michael B. Mason, pursuant to authorization on file 2023-02-14