SEC Form 4 · accession 0000059478-15-000136
ELI LILLY & Co · LLY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Derica W Rice
Officer — EVP-Global Services and CFO
Period of report
May 5, 2015
Accepted (ET)
May 7, 2015 · 3:07 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000059478
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | May 5, 2015 | M | 27,108 | $56.18 | A | 82,169 | D | |
| Common StockF1 | May 5, 2015 | F | 23,695 | $72.31 | D | 58,474 | D | |
| Common Stock | May 5, 2015 | M | 30,000 | $52.54 | A | 88,474 | D | |
| Common StockF1 | May 5, 2015 | F | 25,613 | $72.31 | D | 62,861 | D | |
| Common Stock | Feb 10, 2015 | G | 55,061 | $0.00 | D | 7,800 | D | |
| Common StockF2 | Feb 10, 2015 | G | 55,061 | $0.00 | A | 333,324 | I | by wife |
| Common Stock | holding | — | — | — | 7,071 | I | 401(k) | |
| Common StockF2 | holding | — | — | — | 1,821 | I | 401(k) - by wife |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee stock option 2/06 (right to buy) | $56.18 | May 5, 2015 | M | 27,108 | D | Feb 10, 2009 | Feb 9, 2016 | Common Stock | 27,108 | 0 | D |
| Employee stock option 5/06 (right to buy) | $52.54 | May 5, 2015 | M | 30,000 | D | May 1, 2009 | Apr 29, 2016 | Common Stock | 30,000 | 0 | D |
Explanation of responses
- F1This transaction was executed in multiple trades at prices ranging from $71.98 to $72.93. The price reported reflects the weighted average sale price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.
- F2Reporting person disclaims beneficial ownership of these shares.