0000059478-23-000223.txt : 20230810 0000059478-23-000223.hdr.sgml : 20230810 20230810165112 ACCESSION NUMBER: 0000059478-23-000223 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230809 FILED AS OF DATE: 20230810 DATE AS OF CHANGE: 20230810 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ricks David A CENTRAL INDEX KEY: 0001538604 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 231160373 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 wk-form4_1691700658.xml FORM 4 X0508 4 2023-08-09 0 0000059478 ELI LILLY & Co LLY 0001538604 Ricks David A LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 1 1 0 0 President, Chair, and CEO 0 Common Stock 2023-08-09 4 G 0 9550 0 D 440443 D Common Stock 63758 I By David A. Ricks 2022 GRAT Common Stock 67700 I By David A. Ricks SLAT Common Stock 7207 I 401(k) On May 17, 2023, 6,242 shares of Eli Lilly and Company common stock were transferred to the reporting person as an annuity payment in accordance with the terms of the David A. Ricks 2022 Grantor Retained Annuity Trust, of which the reporting person is the trustee. The reporting person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein. /s/ Jonathan Groff for David A. Ricks, pursuant to authorization on file 2023-08-10