-----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, H55uqWaeHJ+GaztN9vZsoFmXZl+AujJAMCBArC5KDVUHWif/j1YeDeuWecWpn+WE pUAhRXJFz5FRuqhvjG4Fuw== 0001223617-03-000011.txt : 20031113 0001223617-03-000011.hdr.sgml : 20031113 20031113102909 ACCESSION NUMBER: 0001223617-03-000011 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20030930 FILED AS OF DATE: 20031113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FITZPATRICK DAVID J CENTRAL INDEX KEY: 0001184188 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 03996115 MAIL ADDRESS: STREET 1: TYCO INTERNATIONAL (US) INC. STREET 2: 273 CORPORATE DRIVE, SUITE 100 CITY: PORTSMOUTH STATE: NH ZIP: 03801 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 5 1 fit184.xml X0201 5 2003-09-30 0 0 0 0000833444 TYCO INTERNATIONAL LTD /BER/ TYC 0001184188 FITZPATRICK DAVID J C/O TYCO INTERNATIONAL (US) INC. 9 ROSZEL ROAD PRINCETON NJ 08540 0 1 0 0 EVP & Chief Financial Officer Deferred Stock Units (Call Equivalent) 0.00 2002-11-01 5 J 0 173 14.41 A Common Shares 173.00 200173.00 D Deferred Stock Units (Call Equivalent) 0.00 2003-02-03 5 J 0 156 16.07 A Common Shares 156.00 200329.00 D Deferred Stock Units (Call Equivalent) 0.00 2003-05-01 5 J 0 157 15.93 A Common Shares 157.00 200486.00 D Deferred Stock Units (Call Equivalent) 0.00 2003-08-01 5 J 0 135 18.58 A Common Shares 135.00 200621.00 D Distribution will first occur upon (i) 30 days following termination of the Reporting Person's employment with the Company (except in the event of Termination for Cause), or (ii) a Change in Control. Upon such date of termination or Change in Control, as the case may be, the Company shall issue to the Reporting Person the number of shares of Tyco common stock equal to the aggregate number of vested DSUs credited to the Reporting Person. Deferred Stock Unit credited to the Reporting Person's deferred stock unit plan account as a result of the Company's quarterly dividend payment. By: Judith A. Reinsdorf, attorney-in-fact 2003-11-13 -----END PRIVACY-ENHANCED MESSAGE-----