0001209191-13-006009.txt : 20130204 0001209191-13-006009.hdr.sgml : 20130204 20130204164005 ACCESSION NUMBER: 0001209191-13-006009 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: Rice Derica W CENTRAL INDEX KEY: 0001359067 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-06351 FILM NUMBER: 13570534 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 0 0 0 0000059478 LILLY ELI & CO LLY 0001359067 Rice Derica W LILLY CORPORATE CENTER INDIANAPOLIS IN 46285 0 1 0 0 EVP-Global Services and CFO Common Stock 2012-03-07 5 G 0 56196 0.00 D 0 D Common Stock 2012-03-07 5 G 0 56196 0.00 A 168640 I by wife Common Stock 6522 I 401(k) Common Stock 1696 I 401(k) - by wife Derica W. Rice 2013-01-31