Form 4 Hicks Michael-bryant

4 - Statement of changes in beneficial ownership of securities

Published: 2018-09-26 16:14:35
Submitted: 2018-09-26
Period Ending In: 2018-09-24
form4.html FORM 4


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SEC FORM 4

SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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OMB Number: 3235-0287
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Hicks Michael-Bryant

(Last) (First) (Middle)
C/O ELANCO ANIMAL HEALTH INCORPORATED
2500 INNOVATION WAY

(Street)
GREENFIELD IN 46140

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Elanco Animal Health Inc [ ELAN ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
See Remarks
3. Date of Earliest Transaction (Month/Day/Year)
09/24/2018
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 09/24/2018 P 5,000 A $24 5,000 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
Remarks:
Executive Vice President, General Counsel and Corporate Secretary
/s/ Michael-Bryant Hicks 09/26/2018
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
1
form4.xml FORM 4
Schema Version:
X0306
Document Type:
4
Period Of Report:
2018-09-24

Issuer

Issuer Cik
0001739104
Issuer Name
Elanco Animal Health Inc
Issuer Trading Symbol
ELAN

Reporting Owner

Reporting Owner Id

Rpt Owner Cik
0001596081
Rpt Owner Name
Hicks Michael-Bryant

Reporting Owner Address

Rpt Owner Street1
C/O ELANCO ANIMAL HEALTH INCORPORATED
Rpt Owner Street2
2500 INNOVATION WAY
Rpt Owner City
GREENFIELD
Rpt Owner State
IN
Rpt Owner Zip Code
46140

Reporting Owner Relationship

Is Officer
true
Officer Title
See Remarks

Non Derivative Transaction

Security Title
Common Stock
Transaction Date
2018-09-24

Transaction Coding

Transaction Form Type
4
Transaction Code
P
Equity Swap Involved
0

Transaction Amounts

Transaction Shares
5000
Transaction Price Per Share
24
Transaction Acquired Disposed Code
A
Shares Owned Following Transaction
5000
Direct Or Indirect Ownership
D
Remarks:
Executive Vice President, General Counsel and Corporate Secretary

Owner Signature

Signature Name
/s/ Michael-Bryant Hicks
Signature Date
2018-09-26
Additional Files
FileSequenceDescriptionTypeSize
0001140361-18-039142.txt   Complete submission text file   4146
$ELAN

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