-----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, U5NWenv9v5y2Ol8/BRXFudgQpePMvMsWlKyZGGuQK6bSBVJzRt5UmM7sDeXKjuPa AfcJICii2nfhW2P5gM/LyA== 0001223617-04-000013.txt : 20040204 0001223617-04-000013.hdr.sgml : 20040204 20040204151101 ACCESSION NUMBER: 0001223617-04-000013 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20031103 FILED AS OF DATE: 20040204 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: 04566519 BUSINESS ADDRESS: STREET 1: MICRO WAREHOUSE INC STREET 2: 535 CONNECTICUT AVENUE CITY: NORWALK STATE: CT ZIP: 06854 BUSINESS PHONE: (203)899-4000 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 4 1 yor210.xml X0201 4 2003-11-03 0 0000833444 TYCO INTERNATIONAL LTD /BER/ TYC 0001198726 YORK JEROME B C/O TYCO INTERNATIONAL (US) INC. 9 ROSZEL ROAD PRINCETON NJ 08540 1 0 0 0 Deferred Stock Unit 0.00 2003-11-03 4 J 0 4 20.98 A 2003-10-01 Common Shares 4.00 5967.00 D Deferred Stock Unit 0.00 2004-02-02 4 J 0 3 26.90 A 2003-10-01 Common Shares 3.00 5970.00 D Deferred Stock Unit credited to the Reporting Person's deferred stock unit plan account as a result of the Company's quarterly dividend payment. Defered Stock Units (DSUs) were issued under the Tyco International Ltd. (the Company) Long Term Incentive Plan (LTIP) at a DSU value based on the average price of Tyco common stock for the 60-days prior to the grant. The DSUs are immediately vested upon grant. Dividends will be credited in DSUs to the grantee's account based on the average of the high and the low sale price of Tyco common stock on the dividend date. Distribution under the LTIP will first occur upon (i) 30 days following termination of the grantee's service as a member of the Board of Directors of 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 grantee the number of shares of Tyco common stock equal to the aggregate number of vested DSUs credited to the grantee. By: Judith A. Reinsdorf, attorney-in-fact 2004-02-04 -----END PRIVACY-ENHANCED MESSAGE-----