0000059478-17-000089.txt : 20170203 0000059478-17-000089.hdr.sgml : 20170203 20170203172034 ACCESSION NUMBER: 0000059478-17-000089 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170201 FILED AS OF DATE: 20170203 DATE AS OF CHANGE: 20170203 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LILLY ELI & 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 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 BUSINESS PHONE: 3172762000 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER STREET 2: DROP CODE 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Rice Derica W CENTRAL INDEX KEY: 0001359067 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 17573138 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 4 1 wf-form4_148616041253502.xml FORM 4 X0306 4 2017-02-01 0 0000059478 LILLY ELI & CO LLY 0001359067 Rice Derica W LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 EVP-Global Services and CFO Common Stock 2017-02-01 4 M 0 19463 0 A 58443 D Common Stock 2017-02-01 4 F 0 8989 77.03 D 49454 D Common Stock 2017-02-02 4 S 0 7270 76.97 D 42184 D Common Stock 2017-02-03 4 S 0 3892 77.47 D 38292 D Common Stock 7394 I 401(k) Common Stock 365659 I by wife Common Stock 1905 I 401(k) - by wife Restricted Stock Unit 2017-02-01 4 M 0 19463 0 D 2017-02-01 2017-02-01 Common Stock 19463.0 0 D The transaction reported in this Form 4 was effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 8, 2016. Reporting person disclaims beneficial ownership of these shares. Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. Tiffany R. Benjamin for Derica W. Rice, authorization on file 2017-02-03