SEC Form 4 · accession 0000059478-17-000247
ELI LILLY & Co · LLY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Donald A Zakrowski
Officer — Chief Accounting Officer
Period of report
Dec 3, 2017
Accepted (ET)
Dec 5, 2017 · 5:48 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 | Dec 3, 2017 | M | 3,281 | $0.00 | A | 4,167 | D | |
| Common Stock | Dec 3, 2017 | F | 1,070 | $85.32 | D | 3,097 | D | |
| Common Stock | holding | — | — | — | 3,348 | I | 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Restricted Stock UnitF1 | — | Dec 3, 2017 | M | 3,281 | D | Dec 3, 2017 | Dec 3, 2017 | Common Stock | 3,281 | 0 | D |
Explanation of responses
- F1Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock.