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United States securities and exchange commission logo April 8, 2022 Anat Ashkenazi Senior VP and Chief Financial Officer Eli Lilly & Co Lilly Corporate Center Indianapolis, Indiana 46285 Re: Eli Lilly & Co Form 10-K for the Fiscal Year Ended December 31, 2020 Filed February 17, 2021 Form 10-K for the Fiscal Year Ended December 31, 2021 Filed February 23, 2022 File No. 001-06351 Dear Ms. Ashkenazi: We have completed our review of your filings. We remind you that the company and its management are responsible for the accuracy and adequacy of their disclosures, notwithstanding any review, comments, action or absence of action by the staff. Sincerely, Division of Corporation Finance Office of Life Sciences