0001209191-13-006007.txt : 20130204 0001209191-13-006007.hdr.sgml : 20130204 20130204163827 ACCESSION NUMBER: 0001209191-13-006007 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20121231 FILED AS OF DATE: 20130204 DATE AS OF CHANGE: 20130204 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Nobles Anne CENTRAL INDEX KEY: 0001462543 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 13570516 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 5 1 doc5.xml FORM 5 SUBMISSION X0306 5 2012-12-31 1 0 0 0000059478 LILLY ELI & CO LLY 0001462543 Nobles Anne LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 Chief Eth/Cmpl Ofcr & SVP, ERM Common Stock 2012-12-12 5 G 0 289 0.00 D 23247 D Common Stock 2028 I 401(k) Common Stock 4799 I by husband Reporting person disclaims beneficial ownership of these shares. Anne Nobles 2013-01-31