ELI LILLY & Co — Director's Dealing 2022

Feb 3, 2022

SEC Form 5 — Annual Statement of Changes in Beneficial Ownership

Issuer: ELI LILLY & Co (LLY)
CIK: 0000059478
Period of Report: 2021-12-31

Reporting Person: Skovronsky Daniel (SVP, CS&MO & Pres. LRL)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2021-04-28	Common Stock	G	70000	—	Disposed	45680	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	70000	Indirect

Footnotes

F1: The amount reported as directly beneficially owned gives effect to a transfer on April 15, 2021 by the Reporting Person of 70,000 shares to the DMGCS Family Holdings LLC, a single-member limited liability company controlled solely by the Reporting Person until April 28, 2021, on which date 100% of the units and control of the DMGCS Family Holdings LLC were transferred for no consideration to the Reporting Person's spouse as trustee of a trust for the benefit of the Reporting Person's spouse and children as sole beneficiaries.

F2: The reported securities are directly held by DMGCS Family Holdings LLC, which is a single-member limited liability company held and controlled solely by the Reporting Person's spouse as trustee of a trust for the benefit of the Reporting Person's spouse and children. The Reporting Person disclaims beneficial ownership of the reported securities except to the extent of his pecuniary interest therein and this report shall not be deemed an admission that the Reporting Person is the beneficial owner of the reported securities for purposes of Section 16 or for any other purpose.