Initial Statement of Beneficial Ownership


   
FORM 3
        
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

OMB APPROVAL
OMB Number: 3235-0104
Expires: January 31, 2005
Estimated average burden
hours per response...
0.5
                      
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
                      

1. Name and Address of Reporting Person *

Canute Scott A

2. Date of Event Requiring Statement (MM/DD/YYYY)
10/1/2004 

3. Issuer Name and Ticker or Trading Symbol

LILLY ELI & CO [LLY]

(Last)        (First)        (Middle)

LILLY CORPORATE CENTER

4. Relationship of Reporting Person(s) to Issuer (Check all applicable)

_____ Director                                _____ 10% Owner
__ X __ Officer (give title below)                _____ Other (specify below)
President, Mfg. Operations /

(Street)

INDIANAPOLIS,IN 46285       

(City)              (State)              (Zip)
5. If Amendment, Date Original Filed (MM/DD/YYYY)

 

6. Individual or Joint/Group Filing (Check Applicable Line)

_ X _ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person


Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)
2. Amount of Securities Beneficially Owned
(Instr. 4)
3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)
4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock   3000.00   D    
Common Stock   5179.00   I   401(k)  
Common Stock   11857.00   I   (1) Amy D. Canute Rev. Trust  

Table II - Derivative Securities Beneficially Owned ( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivate Security
(Instr. 4)
2. Date Exercisable and Expiration Date
(MM/DD/YYYY)
3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)
4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)
6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee stock option (right to buy)   10/16/1998   10/15/2005   Common Stock   8000.00   $23.4075   D    
Employee stock option (right to buy)   10/21/1999   10/20/2006   Common Stock   4000.00   $34.595   D    
Employee stock option (right to buy)   10/20/2000   10/19/2007   Common Stock   5700.00   $64.06   D    
Employee stock option (right to buy)   10/19/2001   10/17/2008   Common Stock   5700.00   $74.2813   D    
Employee Stock Option (right to buy)   10/18/2002   10/16/2009   Common Stock   14000.00   $66.375   D    
Employee stock option (right to buy)   2/20/2004   2/18/2011   Common Stock   50600.00   $73.98   D    
Employee stock option (right to buy)   10/3/2003   10/4/2011   Common Stock   23000.00   $79.28   D    
Employee stock option (right to buy)   2/18/2005   2/17/2012   Common Stock   46000.00   $75.92   D    
Employee stock option (right to buy)   2/17/2006   2/15/2013   Common Stock   50000.00   $57.85   D    
Employee stock option (right to buy)   2/19/2007   2/14/2014   Common Stock   46000.00   $73.11   D    

Explanation of Responses:
( 1)  Revocable Trust of which reporting person and his wife are trustees.

Reporting Owners
Reporting Owner Name / Address
Relationships
Director 10% Owner Officer Other
Canute Scott A
LILLY CORPORATE CENTER
INDIANAPOLIS, IN 46285


President, Mfg. Operations
Signatures
Scott A. Canute 10/8/2004
** Signature of Reporting Person Date


Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.


 
 

Scott A. Canute
Lilly Corporate Center
Indianapolis, Indiana 46285

Securities and Exchange Commission
Washington, D.C. 20549

Authorization Regarding Reporting Forms

I hereby authorize and designate the following persons to sign and file with the Commission on my behalf Forms 4 and 5 covering my transactions and holdings in the common stock and other equity securities of Eli Lilly and Company as required by Section 16 of the Securities Exchange Act of 1934 and the rules thereunder:

Robert A. Armitage, Lilly Corporate Center, Indianapolis, Indiana Alecia A. DeCoudreaux, Lilly Corporate Center, Indianapolis, Indiana James B. Lootens, Lilly Corporate Center, Indianapolis, Indiana Bronwen L. Mantlo, Lilly Corporate Center, Indianapolis, Indiana

This authorization and designation shall remain in effect until a written revocation is signed by me and provided to the Commission.

Scott A. Canute

August 22, 2004



End of Filing


© 2004 | EDGAR Online, Inc.