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SEC FORM 4 SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
 
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
TAUREL SIDNEY

(Last) (First) (Middle)
LILLY CORPORATE CENTER

(Street)
INDIANAPOLIS IN 46285

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
LILLY ELI & CO [ LLY ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman, President and CEO
3. Date of Earliest Transaction (Month/Day/Year)
11/04/2003
4. If Amendment, Date of Original Filed (Month/Day/Year)
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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 02/13/2003 02/13/2003 G 2,345 D $0 459,279 D
Common Stock 03/25/2003 03/25/2003 G 700 D $0 458,579 D
Common Stock 05/13/2003 05/13/2003 G 40 D $0 458,539 D
Common Stock 11/04/2003 11/04/2003 M 80,000 A $14.6575 538,539 D
Common Stock 11/04/2003 11/04/2003 M 4,272 A $23.4075 542,811 D
Common Stock 11/04/2003 11/04/2003 M 2,890 A $34.595 545,701 D
Common Stock 14,379 I 401(k) Plan
Common Stock 1,290 I by child, A. Taurel
Common Stock 1,290 I by child, O. Taurel
Common Stock 1,290 I by child, P. Taurel
Common Stock 95,623 I(1) Family Limited Partnership(1)
Common Stock 20,500 I(2) Family Limited Partnership(2)
Common Stock 4,399 I(3) GRAT 00.8-4
Common Stock 18,608 I(3) GRAT 01-3
Common Stock 56,576 I(3) GRAT 2002-4
Common Stock 30,768 I(3) S. Taurel Family Invest. GRAT
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee stock option (right to buy) $14.6575 11/04/2003 11/04/2003 M 80,000 10/17/1997 10/15/2004 Common Stock 80,000 (4) 80,000 D
Employee stock option (right to buy) $23.4075 11/04/2003 11/04/2003 M 4,272 10/16/1998 10/14/2005 Common Stock 4,272 (4) 295,728 D
Employee stock option (right to buy) $34.595 11/04/2003 11/04/2003 M 2,890 10/21/1999 10/20/2006 Common Stock 2,890 (4) 147,110 D
Explanation of Responses:
1. Held by Family Limited Partnership 1 in which reporting person is sole general partner. Reporting person's wife and children own limited partnership interests, and reporting person disclaims beneficial ownership in the shares held by the partnership except to the extent of his pecuniary interest therein.
2. Held by Family Limited Partnership 2 in which an LLC controlled by the reporting person is the sole general partner and the reporting person is the sole limited partner. Reporting person's wife and children own limited partnership interests in Family Limited Partnership 1, and reporting person disclaims beneficial ownership in the shares held by the partnership except to the extent of his pecuniary interest therein.
3. Grantor retained annuity trust established by reporting person. Reporting person is trustee.
4. Not applicable to the exercise of this employee stock option.
Remarks:
Bronwen Mantlo for Sidney Taurel, authorization on file 11/06/2003
** 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 4 (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 Number.