SEC Form 5 · accession 0000059478-17-000012
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
Dec 31, 2016
Accepted (ET)
Jan 27, 2017 · 11:47 am 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 Stock | Feb 8, 2016 | G | 36,931 | $0.00 | D | 0 | D | |
| Common StockF1 | Feb 8, 2016 | G | 36,931 | $0.00 | A | 366,137 | I | by wife |
| Common StockF1 | Mar 21, 2016 | G | 78 | $0.00 | D | 366,059 | I | by wife |
| Common StockF1 | Dec 16, 2016 | G | 400 | $0.00 | D | 365,659 | I | by wife |
| Common Stock | holding | — | — | — | 7,396 | I | 401(k) | |
| Common StockF1 | holding | — | — | — | 1,905 | I | 401(k) - by wife |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reporting person disclaims beneficial ownership of these shares.