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FEC Disclosure Form 3X for ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEEForm 3X for ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEE

FEC FORM 3X

REPORT OF RECEIPTS AND DISBURSEMENTS

For Other Than An Authorized Committee

FILING FEC-1545710


1. ELI LILLY AND COMPANY POLITICAL ACTION COMMITTEE

    LILLY CORPORATE CENTER
    INDIANAPOLIS, Indiana 46285

2. FEC Committee ID #: C00082792

3. This committee HAS qualified as a multicandidate committee (see FEC Form 1M)

4. Report Type = OCT MONTHLY

Filed: 10/20/2021

SUMMARY PAGE
DETAILED SUMMARY PAGE
Schedule A Filings (ITEMIZED RECEIPTS)
Schedule B Filings (ITEMIZED DISBURSEMENTS)


SUMMARY PAGE




5. Covering Period 09/01/2021 Through 09/30/2021



Column A
This Period
Column B
Year To Date
6. (a) Cash on hand, January 1, 2021
836215.41
    (b) Cash on hand at Beginning of Reporting Period1146534.54
    (c) Total Receipts (from line 19)86474.39760569.47
    (d) Subtotal (6(b) + 6(c) for A, 6(a) + 6(c) for B)1233008.931596784.88
7. Total Disbursements83500.00447275.95
8. Cash on Hand at Close of Reporting Period1149508.931149508.93
9. Debts and Obligations Owed TO the Committee0.00
    Itemize all on SCHEDULE C or SCHEDULE D
10. Debts and Obligations Owed BY the Committee0.00
    Itemize all on SCHEDULE C or SCHEDULE D

Treasurer: Hormaz Dubash
Date Signed: 10/20/2021

(End Summary Page, FEC FORM 3X)


DETAILED SUMMARY PAGE

Of Receipts And Disbursements


Column A
This Period
Column B
Calendar Year
I. Receipts
11. Contributions (other than loans) From:
    (a) Individuals/Persons Other than Political Committees
        (i) Itemized68746.57471070.13
        (ii) Unitemized17727.82288655.18
        (iii) Total (11(a)(i) + 11(a)(ii))86474.39759725.31
    (b) Political Party Commitees0.000.00
    (c) Other Political Committees (such as PACS)0.000.00
    (d) Total Contributions (11(a)(iii) + (b) + (c))86474.39759725.31
12. Transfers From Affiliated/Other Party Committees0.000.00
13. All Loans Received0.000.00
14. Loan Repayments Received0.000.00
15. Offsets to Operating Expenditures (Refunds, Rebates, etc)0.000.00
16. Refunds of Contributions made to Fed. Candidates and other Political Committees0.000.00
17. Other Federal Receipts (Dividends, Interest, etc)0.00844.16
18. Transfers from Non-Federal and Levin Funds
    (a) Non-Federal Account (SCHEDULE H3)0.000.00
    (b) Levin Funds (SCHEDULE H5)0.000.00
    (c) Total Transfers ( 18(a) + 18(b) )0.000.00
19. Total Receipts (11(d) + 12 + 13 + 14 + 15 + 16 + 17 + 18)86474.39760569.47
20. Total Federal Receipts (19 - 18(c))86474.39760569.47
II. Disbursements
21. Operating Expenditures
    (a) Shared Federal/Nonfederal Activity (SCHEDULE H4)
        (i) Federal Share0.000.00
        (ii) Nonfederal Share0.000.00
    (b) Other Federal Operating Expenditures0.001925.95
    (c) Total Operating Expenditures (21(a)(i) + (a)(ii) + (b))0.001925.95
22. Transfers to Affiliated/Other Party Committees0.000.00
23. Contributions to Fed. Candidates/Committees and Other Political Committees40500.00283400.00
24. Independent Expenditures (SCHEDULE E)0.000.00
25. Coordinated Expenditures Made by Party Committees (SCHEDULE F)0.000.00
26. Loan Repayments Made0.000.00
27. Loans Made0.000.00
28. Refunds of Contributions To:
    (a) Individuals/Persons Other Than Political Committees0.000.00
    (b) Political Party Committees0.000.00
    (c) Other Political Committees (such as PACs)0.000.00
    (d) Total Contribution Refunds (28(a) + (b) + (c))0.000.00
29. Other Disbursements43000.00161950.00
30. Federal Election Activity
    (a) (i) Allocated Federal Election Activity - Federal Share (SCHEDULE H6)0.000.00
    (a) (ii) Allocated Federal Election Activity - Levin Share (SCHEDULE H6)0.000.00
    (b) Federal Election Activity Paid Entirely with Federal Funds0.000.00
    (c) Total Federal Election Activity ( 30(a)(i)+30(a)(ii)+30(b) )0.000.00
31. Total Disbursements ( 21(c)+23+24+25+26+27+28(d)+29+30(c) )83500.00447275.95
32. Total Federal Disbursements (31-21(a)(ii)-30(a)(ii))83500.00447275.95
III. Net Contributions/Operating Expenditures
33. Total Contributions (other than loans) (11(d))86474.39759725.31
34. Total Contribution Refunds (28(d))0.000.00
35. Net Contributions (other than loans) (32 - 33)86474.39759725.31
36. Total Federal Operating Expenditures (21(a)(i) + 21(b))0.001925.95
37. Offsets to Operating Expenditures (15)0.000.00
38. Net Operating Expenditures0.001925.95

(End Detailed Summary Page, FEC FORM 3X)


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