0001209191-12-006136.txt : 20120130 0001209191-12-006136.hdr.sgml : 20120130 20120130173549 ACCESSION NUMBER: 0001209191-12-006136 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: Mahony Susan CENTRAL INDEX KEY: 0001463321 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 12556673 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 0001463321 Mahony Susan LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 SVP & Pres., Lilly Oncology Common Stock 2012-01-26 4 A 0 1203 39.44 A 4479 I by husband Common Stock 2012-01-26 4 A 0 3077 39.44 A 30620 D Common Stock 1427 I 401(k) - by husband Common Stock 1436 I 401(k) Restricted Stock Unit 2012-01-26 4 A 0 22943 0.00 A 2013-02-01 2013-02-01 Common Stock 22943 22943 D Reporting person disclaims beneficial ownership of these shares. Each restricted stock unit represents a contingent right to receive one share of Eli Lilly and Company common stock. Bronwen Mantlo for Susan Mahony, authorization on file 2012-01-30