0001209191-12-006132.txt : 20120130 0001209191-12-006132.hdr.sgml : 20120130 20120130172958 ACCESSION NUMBER: 0001209191-12-006132 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120126 FILED AS OF DATE: 20120130 DATE AS OF CHANGE: 20120130 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Lundberg Jan M CENTRAL INDEX KEY: 0001480120 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 12556644 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 2012-01-26 0 0000059478 LILLY ELI & CO LLY 0001480120 Lundberg Jan M LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 EVP,Science&Tech and Pres. LRL Restricted Stock Unit 2012-01-26 4 A 0 44122 0.00 A 2013-02-01 2013-02-01 Common Stock 44122 44122 D Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. Bronwen Mantlo for Jan Lundberg, authorization on file 2012-01-30