-----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, JORmeURnlOyV8DXIgiX5wjV/iNOHelUHyX9KwulsJQUqGFOt39a41Zd6CVb99u4e mF+ubnlPPC+YHQqPrYDxWQ== 0001223623-04-000033.txt : 20040928 0001223623-04-000033.hdr.sgml : 20040928 20040928135143 ACCESSION NUMBER: 0001223623-04-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040927 FILED AS OF DATE: 20040928 DATE AS OF CHANGE: 20040928 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: LYNCH THOMAS J CENTRAL INDEX KEY: 0001208323 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 041049317 MAIL ADDRESS: STREET 1: 1303 E ALGONQUIN RD CITY: SCHAUMBURG STATE: IL ZIP: 60196 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 lyn275.xml X0202 4 2004-09-27 0 0000833444 TYCO INTERNATIONAL LTD /BER/ TYC 0001208323 LYNCH THOMAS J C/O TYCO INTERNATIONAL (US) INC. 9 ROSZEL ROAD PRINCETON NJ 08540 0 1 0 0 President - TEPS Common Shares 2004-09-27 4 A 0 120000 0 A 121500 D Stock Option (Right to Buy) 29.82 2004-09-27 4 A 0 415000 0 A 2014-09-26 Common Shares 415000 415000 D These restricted shares will vest on the third anniversary of the grant date. Subject to acceleration upon certain events, these options are exercisable in equal annual installments over a three year period commencing on the first anniversary of the grant date: (1) 138,334 shares on 09/27/2005; (2) 138,333 shares on 09/27/2006; (3) 138,333 shares on 09/27/2007. By: Judith A. Reinsdorf, attorney-in-fact for 2004-09-28 -----END PRIVACY-ENHANCED MESSAGE-----