SEC Form 4 · accession 0000059478-17-000051
ELI LILLY & Co · LLY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Fionnuala M Walsh
Officer — SVP, Global Quality
Period of report
Jan 27, 2017
Accepted (ET)
Jan 31, 2017 · 6:29 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 Stock | Jan 27, 2017 | A | 9,081 | $75.38 | A | 64,699 | D | |
| Common StockF1 | Jan 27, 2017 | A | 8,539 | $75.38 | A | 40,190 | I | by husband |
| Common Stock | holding | — | — | — | 1,041 | I | 401(k) | |
| Common StockF1 | holding | — | — | — | 1,127 | I | 401(k) - by husband |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF2 | — | Jan 27, 2017 | A | 9,596 | A | Feb 1, 2018 | Feb 1, 2018 | Common Stock | 9,596 | 9,596 | D |
Explanation of responses
- F1Reporting person disclaims beneficial ownership of these shares.
- F2Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock.