0001209191-11-049744.txt : 20111003 0001209191-11-049744.hdr.sgml : 20111003 20111003170240 ACCESSION NUMBER: 0001209191-11-049744 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111001 FILED AS OF DATE: 20111003 DATE AS OF CHANGE: 20111003 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Tapiero Jacques CENTRAL INDEX KEY: 0001479078 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 111120842 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 4 1 doc4.xml FORM 4 SUBMISSION X0304 4 2011-10-01 0 0000059478 LILLY ELI & CO LLY 0001479078 Tapiero Jacques LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 SVP&Pres., Emerging Markets Common Stock 2011-04-12 4 G 0 3878 0.00 D 19148 D Common Stock 2011-10-01 4 M 0 12500 0.00 A 31648 D Common Stock 2011-10-01 4 F 0 5107 36.97 D 26541 D Common Stock 2011-04-12 4 G 0 3878 0.00 A 18206 I by wife Common Stock 2626 I 401(k) Restricted Stock Unit 0.00 2011-10-01 4 M 0 12500 0.00 D 2011-10-01 2011-10-01 Common Stock 12500 0 D Reporting person disclaims beneficial ownership of these shares. Bronwen Mantlo for Jacques Tapiero, authorization on file 2011-10-03