-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Ri4dVofVD50O8GgICAYnNp/vXFgx6DVyfkIjrrLwRghGWAxARnmWCHq+Z3oxgW+8 DLkePrNRMeoBDWjYK7nXzw== 0001104659-07-052260.txt : 20070703 0001104659-07-052260.hdr.sgml : 20070703 20070703195330 ACCESSION NUMBER: 0001104659-07-052260 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20070629 FILED AS OF DATE: 20070703 DATE AS OF CHANGE: 20070703 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TYCO INTERNATIONAL LTD /BER/ CENTRAL INDEX KEY: 0000833444 STANDARD INDUSTRIAL CLASSIFICATION: ELECTRONIC CONNECTORS [3678] IRS NUMBER: 000000000 STATE OF INCORPORATION: D0 FISCAL YEAR END: 0930 BUSINESS ADDRESS: STREET 1: 90 PITTS BAY ROAD STREET 2: THE ZURICH CENTRE SECOND FLOOR CITY: PEMROKE HM 08 BERMU STATE: D0 BUSINESS PHONE: 4412928674 MAIL ADDRESS: STREET 1: C/O TYCO INTERNATIONAL (US) INC STREET 2: ONE TYCO PARK CITY: EXETER STATE: NH ZIP: 03833 FORMER COMPANY: FORMER CONFORMED NAME: ADT LIMITED DATE OF NAME CHANGE: 19930601 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: YORK JEROME B CENTRAL INDEX KEY: 0001198726 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 07962981 BUSINESS ADDRESS: BUSINESS PHONE: 4089741969 MAIL ADDRESS: STREET 1: C/O APPLE COMPUTER INC STREET 2: 1 INFINITE LOOP CITY: CUPERTINO STATE: CA ZIP: 95014 4 1 a4.xml 4 X0202 4 2007-06-29 0 0000833444 TYCO INTERNATIONAL LTD /BER/ TYC 0001198726 YORK JEROME B 9 ROSZEL ROAD PRINCETON NJ 08540 1 0 0 0 Common Shares 8750 D Deferred Stock Units (Call Equivalent) 2007-06-29 4 A 0 12079 0 A Common Shares 12079 12079 D Stock Option (Right to Buy) 28.28 2007-06-29 4 A 0 4974 0 A 2013-01-14 Common Shares 4974 4974 D Includes Tyco International Ltd. common shares adjusted to reflect the four-for-one reverse stock split effected on June 29, 2007. Pursuant to the exemption under Rule 16a-9(a) of the Securities Exchange Act of 1934, this transaction is not required to be reported. Conversion is 1-for-1. Consists of previously granted Deferred Stock Units (DSUs) adjusted pursuant to the terms of the original grant agreement to reflect the separation and distribution of Tyco Electronics Ltd. and Covidien Ltd. by and from Tyco International Ltd. on June 29, 2007. Distribution generally will occur upon the earlier of 30 days after separation from Tyco International Ltd. (or as soon thereafter as provided for under Section 409A of the Internal Revenue Code) or upon a change of control, subject to any individual agreements between Tyco International Ltd. and the Reporting Person. Consists of previously granted stock options adjusted pursuant to the terms of the original grant agreement to reflect the separation and distribution of Tyco Electronics Ltd. and Covidien Ltd. by and from Tyco International Ltd. on June 29, 2007. The stock options vest and are exercisable on the schedule set forth in the original grant agreement. John S. Jenkins, by power of attorney 2007-07-03 -----END PRIVACY-ENHANCED MESSAGE-----