SEC Form 5/A · accession 0000059478-17-000006
ELI LILLY & Co · LLY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 5/A). It replaces an earlier filing for the same period.
Reporting owner
Derica W Rice
Officer — EVP-Global Services and CFO
Period of report
Dec 31, 2015
Accepted (ET)
Jan 5, 2017 · 4:02 pm EST
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 StockF1,F2,F3 | Dec 11, 2015 | J | 66 | $0.00 | A | 329,206 | I | by wife |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1This transaction is being amended to correct the initial gift transaction, which was inadvertently distributed to the wrong recipient. The shares were returned to the account.
- F2Amended to correct the total holdings indirectly held by the reporting persons wife prior to this transaction.
- F3Reporting person disclaims beneficial ownership of these shares.