0001209191-12-007191.txt : 20120202
0001209191-12-007191.hdr.sgml : 20120202
20120202191255
ACCESSION NUMBER: 0001209191-12-007191
CONFORMED SUBMISSION TYPE: 5
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20111231
FILED AS OF DATE: 20120202
DATE AS OF CHANGE: 20120202
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ARMITAGE ROBERT A
CENTRAL INDEX KEY: 0001233249
FILING VALUES:
FORM TYPE: 5
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-06351
FILM NUMBER: 12567551
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
5
1
doc5.xml
FORM 5 SUBMISSION
X0304
5
2011-12-31
0
0
0
0000059478
LILLY ELI & CO
LLY
0001233249
ARMITAGE ROBERT A
LILLY CORPORATE CENTER
INDIANAPOLIS
IN
46285
0
1
0
0
Sr. VP and General Counsel
Common Stock
2011-11-02
5
G
0
3320
0.00
D
0
I
Robert A. Armitage 2008. 10-3 GRAT
Common Stock
45047
D
Common Stock
3583
I
401(k)
Common Stock
33486
I
by wife
Grantor retained annuity trust established by reporting person. Reporting person is trustee.
Reporting person disclaims beneficial ownership of these shares.
Robert A. Armitage
2012-01-31