Daniel Skovronsky - Dec 31, 2021 Form 5 Insider Report for ELI LILLY & Co (LLY)

Role: SVP, CS&MO & Pres. LRL
Signature: /s/ Jonathan Groff for Daniel Skovronsky, pursuant to attached authorization
Stock symbol: LLY
Transactions as of: Dec 31, 2021
Transactions value $: $0
Form type: 5
Date filed: 2/3/2022, 03:38 PM
Previous filing: Jun 4, 2021
Next filing: Feb 3, 2022

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	LLY	Common Stock	Gift	$0	-70K	-60.51%	$0.00	45.7K	Apr 28, 2021	Direct	F1
holding	LLY	Common Stock						70K	Dec 31, 2021	By Trust	F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
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.

Content

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.

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.