-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, P8CNJQWnNI1TNIeESDv5K5yjcBdCAiwMVG8fN+u0n85kZ0ghg0KrnXip28xrSqSc FfZ9qJBDqzOTJu7aqUSOlQ== 0001209191-10-002639.txt : 20100111 0001209191-10-002639.hdr.sgml : 20100111 20100111144754 ACCESSION NUMBER: 0001209191-10-002639 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20100101 FILED AS OF DATE: 20100111 DATE AS OF CHANGE: 20100111 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Simmons Jeffrey N CENTRAL INDEX KEY: 0001479079 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 10519925 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER CITY: INDIANAPOLIS STATE: IN ZIP: 46285 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: LILLY ELI & CO CENTRAL INDEX KEY: 0000059478 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] IRS NUMBER: 350470950 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: LILLY CORPORATE CTR STREET 2: DROP CODE 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 BUSINESS PHONE: 3172762000 MAIL ADDRESS: STREET 1: LILLY CORPORATE CENTER STREET 2: DROP CODE 1112 CITY: INDIANAPOLIS STATE: IN ZIP: 46285 3 1 doc3.xml FORM 3 SUBMISSION X0203 3 2010-01-01 0 0000059478 LILLY ELI & CO LLY 0001479079 Simmons Jeffrey N LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 President-Elanco Anml.Hlth. BU Common Stock 169 D Common Stock 5 I 401(k) Employee stock option 10/01 (right to buy) 79.28 2003-10-03 2011-10-04 Common Stock 1850 D Employee stock option 2/01 (right to buy) 73.98 2004-02-20 2011-02-18 Common Stock 4300 D Employee stock option 2/02 (right to buy) 75.92 2005-02-18 2012-02-17 Common Stock 4300 D Employee stock option 2/03 (right to buy) 57.85 2006-02-16 2013-02-15 Common Stock 8500 D Employee stock option 2/04 (right to buy) 73.11 2007-02-19 2014-02-14 Common Stock 10000 D Employee stock option 2/05 (right to buy) 55.65 2008-02-11 2015-02-10 Common Stock 8787 D Employee stock option 2/06 (right to buy) 56.18 2009-02-10 2016-02-09 Common Stock 9789 D Restricted Stock Unit 2013-05-01 2013-05-01 Common Stock 10000 D Restricted Stock Unit 2018-05-01 2018-05-01 Common Stock 20000 D Restricted Stock Unit 2011-08-31 2011-08-31 Common Stock 3278 D Restricted Stock Unit 2016-08-31 2016-08-31 Common Stock 6556 D Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. Jeffrey N. Simmons 2010-01-11 EX-24.3_312358 2 poa.txt POA DOCUMENT Jeffrey N. Simmons Lilly Corporate Center Indianapolis, Indiana 46285 Securities and Exchange Commission Washington, D.C. 20549 Authorization Regarding Reporting Forms I hereby authorize and designate the following persons to sign and file with the Commission on my behalf Forms 3, 4, and 5 covering my transactions and holdings in the common stock and other equity securities of Eli Lilly and Company as required by Section 16 of the Securities Exchange Act of 1934 and the rules thereunder: Robert A. Armitage, Lilly Corporate Center, Indianapolis, Indiana James B. Lootens, Lilly Corporate Center, Indianapolis, Indiana Bronwen L. Mantlo, Lilly Corporate Center, Indianapolis, Indiana This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission. Jeffrey N. Simmons January 4, 2010 -----END PRIVACY-ENHANCED MESSAGE-----