0000059478-23-000316.txt : 20231204 0000059478-23-000316.hdr.sgml : 20231204 20231204161723 ACCESSION NUMBER: 0000059478-23-000316 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231201 FILED AS OF DATE: 20231204 DATE AS OF CHANGE: 20231204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Zakrowski Donald A CENTRAL INDEX KEY: 0001561539 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 231463279 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_1701724633.xml FORM 4 X0508 4 2023-12-01 0 0000059478 ELI LILLY & Co LLY 0001561539 Zakrowski Donald A LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 SVP, Finance, & CAO 0 Common Stock 2023-12-01 4 M 0 4810 0 A 9518 D Common Stock 2023-12-01 4 F 0 2142 591.04 D 7376 D Common Stock 1709 I 401(k) Restricted Stock Unit 2023-12-01 4 M 0 4810 0 D 2023-12-01 2023-12-01 Common Stock 4810 0 D Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. /s/ Jonathan Groff for Donald A. Zakrowski, pursuant to authorization on file 2023-12-04