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