Return of Private Foundation

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Return of Private Foundation c.^ 4 913 0 7 0 0 61 3 8 r EXTENDED TO NOVEMBER 15, 201 5 9 Return of Private Foundation OMB No 1545-0052 Form,,990- P F or Section 4947(aXl) Trust Treated as Private Foundation 2O 17 Do not enter social security numbers on this form as it may be made public. 7epartment of the Treasury ► and the latest information. internal Revenue Service ► Go to www.irs. gov/Form99OPF for instructions F or calendar year 2017 or tax year beginning , and ending Name of foundation Employer identification number ELI LILLY AND COMPANY FOUNDATION 35-6202479 Numberand-sstreet (or P O box number if mail is not delivered to street address ) Room/suite B Telephone number PO BOX 80007 317-276-2000 C City or town, state or province, country, and ZIP or foreign postal code If exemption application is pending, check here ► INDIANAPOLIS, IN 46280 G Check all that apply. Initial return initial return of a former public charity D 1. Foreign organizations, check here Final return Amended return 2. Foreign organizations meeting the 85% test, Address chang e Name change check here and attach computation H Check type of organization: LX_J Section 501(c)(3) exempt private foundation y//1 E If private foundation status was terminated 0 Section 4947(a)(1) nonexempt charitable trust = Other taxable private foundation " under section 507(b)(1)(A), check here 11110- I Fair market value of all assets at end of year J Accounting method: X Cash L_J Accrual F If the foundation is in a 60-month termination (from Part II, col (c), line 16) 0 Other (specify) under section 507(b)(1)(B), check here ► $ 5 3 , 714 , 7 8 7 . (Part I, column (d) must be on cash basis.) Part 1 Analysis of Revenue and Expenses (a) Revenue and (b) Net investment (c) Adjusted net ( d ) Disbursements (The total of amounts in columns (b), (c) and (d) may not for charitable purposes necessarily equal the amounts in column (a)) expenses per books income income (cash basis only) 1 Contributions, gifts, grants, etc., received N-/A, ' . - 2 Check 0, X if the foundation is not required to attach Sch B i, ' - ' Interest and temporary 3 nvestmentss k 845,033. 845,033 . STATEMENT 1 4 Dividends and interest from securities U L\31 578,279. 578,279. STATEMENT • 2 5a Gross rents U b Net rental income or (loss) • ' 6a Net gain or (loss) from sale of assets not on line 10 3 , 992 , 785 . - - ' 7 b Gross sales price for all assets on line 6a 31 , 740 , 621. z'" ' _ - ..>. • " 7 Capital gain net income (from Part IV, line 2) 3 , 992 , 785. ° 8 Net short-term capital gain 9 Income modifications Gross sales less returns 10a and allowances b Less Cost of goods sold • '^"` °'^` ` .. _ ' ' ' c Gross profit or (loss) - 11 Other Income 23,799. 23,799. STATEMENT- 3 12 Total. Add lines 1 through 11 5, 439, 896 - 5, 439 , 896 . ' :.., 13 Compensation of officers, directors, trustees , etc 0 . 0 . 0. 14 Other employee salaries and wages 15 Pension plans, employee benefits 16a Legal fees STMT 4 8,189. 0. 0. b Accounting fees STMT 5 98,072. 0. 0. W c Other professional fees STMT 6 265,503. 0. 0. 17 Interest m 18 Taxes STMT 7 61 , 902. 1 , 902 . 0 . E° 19 Depreciation and depletion E 20 Occupancy a 21 Travel, conferences, and meetings r- 22 Printing and publications 00 23 Other exper}ses_............. __ STMT 8 166,980. 147,160. 0. 24 Total operatmg an Fadminist a-We ^[ ii- i t 14 .1119..^l t !C ® a expenses . Add Imes-13•through 23 600 ,646. 149,062. 0. ° 25 ContrlbutloiO^ ifts, g[af is paid 0 9, 354,278. 29 , 354 , 278. V 26 expenses isburselments:U18 Q W Total , and fd^ M Addlines 24an .25 29, 954, 924. 149, 062. 29, 354, 278. 27 Subtract line 26 f Um lAe12., LU a Excess of revenue-over expenses and d^rsbursements^^-' 2 4 , 515 , 0 2 8 . _ - - _ w • , `I b Net investment income if negative, enter -0-) 5 , 290 , 8 3 4 . '` - - c Adjusted net income (if negative, enter -0-) N/A 0)7235o1 01-03-18 LHA For Paperwork Reduction Act Notice, see instructions . Form 990-PF (2017) 1 q 07271003 757887 98501.000 2017.04030 ELI LILLY AND COMPANY FOUND 9850111"' Form 990-PF (20171 ELI LILLY AND COMPANY FOUNDATION 35-6202479 Paae 2 Attached schedules and amounts in the description Beginning of year End of year Part II Balance Sheets column should be for end-of-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-interest-bearing 2 Savings and temporary cash investments 2,432,543. 1,112,518. 1,112,518. 3 Accounts receivable ► Less: allowance for doubtful accounts ► 4 Pledges receivable ► Less: allowance for doubtful accounts ► 5 Grants receivable 6 Receivables due from officers, directors, trustees, and other disqualified persons 7 other notes and loans receivable ► Less: allowance for doubtful accounts ► 0 8 Inventories for sale or use 9 Prepaid expenses and deferred charges < 10a Investments - U.S. and state government obligations b Investments - corporate stock STMT 9 36,486,674. 24,126,618. 26,415,516. c Investments - corporate bonds STMT 10 37,420,260. 26,585,313. 26,186,753. 11 Investments - land, buildings, and equipment basis ► Less accumulated depreciabon ► 12 Investments - mortgage loans 13 Investments - other 14 Land, buildings, and equipment basis ► Less accumulated depreciation ► 15 Other assets (describe ► 16 Total assets (to be completed by all filers - see the instructions. Also, see page 1, item I 76,339,477. 51,824,449. 53,714,787. 17 Accounts payable and accrued expenses 18 Grants payable w 19 Deferred revenue 20 Loans from officers , directors , trustees , and other disqualified persons 21 Mortgages and other notes payable - 22 Other liabilities (describe ► 23 Total liabilities (add lines 17 through 22) 0. 0. Foundations that follow SFAS 117, check here ► X and complete lines 24 through 26, and lines 30 and 31. 24 Unrestricted 76,339,477. 51,824,449. m 25 Temporarily restricted co 26 Permanently restricted r_ Foundations that do not follow SFAS 117, check here ► 0 U. and complete lines 27 through 31. ° 27 Capital stock, trust principal, or current funds 28 Paid-in or capital surplus, or land, bldg., and equipment fund a 29 Retained earnings, accumulated income, endowment, or other funds Z 30 Total net assets or fund balances 76,339,477. 51,824, 4 49. 31 Total liabilities and net assets/fund balances 76,339,477. 51,824,449. Part III Analysis of Changes in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year's return) 1 76,339,477. 2 Enter amount from Part I, line 27a 2 <24,515,028.> 3 Other increases not included in line 2 (itemize) ► 0. 4 Add lines 1, 2, and 3 51,824,449. 5 Decreases not included in line 2 (itemize) ► '' 0. 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 51,824,449. Form 990-PF (2017) 723511 01-03-18 2 07271003 757887 98501.000 2017.04030 ELI LILLY AND COMPANY FOUND 9850111 Form 99O-PF (2017) ELI LILLY AND COMPANY FOUNDATION 35-6202479 Page 3 Part IV Capital Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (for example , real estate , (C) Date acquired (d) Date sold Purcacre day, yr.) (mo., day, yr.) 2-story brick warehouse ; or common stock, 200 shs. MLC Co.) D - Donation (mo., 1a CORE ACTIVE BOND FUND B P VARIOUS VARIOUS b EQUITY INDEX FUND B P VARIOUS VARIOUS cRUSSEL L 2000 INDEX FUND B P VARIOUS VARIOUS d PASS THROUGH GAINS AND LOSSES P VARIOUS VARIOUS e Depreciation allowed (g) Cost or other basis ( h) Gain or (loss) (e) Gross sales price (f) (or allowable ) plus expense of sale ((e) plus (f) minus (g)) a 11,577,963. 11,796,335. <218,372. b 13,733,943. 12,938,215. 795,728. c 3,222,972. 3, 013,286. 209,686. d 3,205,743. 1 i 3,205,743. e Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31 /69. (I) Gains (Col. (h) gain minus than -0-) or (j) Adjusted basis (k) Excess of col. (i) col. (k), but not less Losses (from col. (h)) (i) FMV as of 12/31/69 as of 12/31/69 over col. ( 1), if any a <218,372. b 795,728. C 209,686. d 3,205,743. e If gain, also enter in Part I, line 7 2 Capital gain net income or ( net capital loss ) If (loss), enter -0- in Part I , line 7 2 3 , 992,785. 3 Net short-term capital gain or ( loss) as defined in sections 1222(5) and (6): If gain, also enter in Part I, line 8, column (c). If ( loss ), enter -0- in Part I, line 8 3 N/A Part V I Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.) If section 4940(d)(2) applies, leave this part blank. Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? 0 Yes 0% No If Yes,' the foundation doesn't qualify under section 4940(e).
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