0001209191-11-053767.txt : 20111102 0001209191-11-053767.hdr.sgml : 20111102 20111102101921 ACCESSION NUMBER: 0001209191-11-053767 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111031 FILED AS OF DATE: 20111102 DATE AS OF CHANGE: 20111102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOOVER R DAVID CENTRAL INDEX KEY: 0001186033 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 111173328 MAIL ADDRESS: STREET 1: C/O BALL CORPORATIO STREET 2: 10 LONGS PEAK DRIVE CITY: BROOMFIELD STATE: CO ZIP: 80021-2510 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 2011-10-31 0 0000059478 LILLY ELI & CO LLY 0001186033 HOOVER R DAVID LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 1 0 0 0 Common Stock 2011-10-31 4 A 0 224 38.29 A 13068 D Common Stock 1000 I Suzanne A. Hoover Revocable Trust Revocable Trust of which reporting person's spouse is the trustee. Bronwen Mantlo for R. David Hoover, authorization on file 2011-11-02