-----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, Sxhy2p6DjQC5XMb5OVi1z5OB4JaWimIfQt8CeiMJq2jSVMJp1hyeq0PJAvSdb4p7 WkfomBZKb3z895cs2xajCQ== 0001223623-04-000044.txt : 20041115 0001223623-04-000044.hdr.sgml : 20041115 20041115091555 ACCESSION NUMBER: 0001223623-04-000044 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040930 FILED AS OF DATE: 20041115 DATE AS OF CHANGE: 20041115 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KROL JOHN A CENTRAL INDEX KEY: 0001166306 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 041141939 MAIL ADDRESS: STREET 1: 26070 MANDEVILLA DRIVE CITY: BONITA SPRINGS STATE: FL ZIP: 34134 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 kro287.xml X0202 5 2004-09-30 0 0 0 0000833444 TYCO INTERNATIONAL LTD /BER/ TYC 0001166306 KROL JOHN A C/O TYCO INTERNATIONAL (US) INC. 9 ROSZEL ROAD PRINCETON NJ 08540 1 0 0 0 Common Shares 2003-12-24 5 G 0 5300 0 D 1100 D Common Shares 2004-01-12 5 G 0 1000 0 D 100 D Common Shares 2004-04-05 5 G 0 6300 0 A 6400 D Common Shares 2003-12-24 5 G 0 5300 0 A 5300 I By Trust Common Shares 2004-01-12 5 G 0 1000 0 A 6300 I By Trust Common Shares 2004-04-05 5 G 0 6300 0 D 0 I By Trust Reported transaction is between the reporting person and the John A. Krol Flint Trust. By: Timothy E. Flanigan, attorney-in-fact 2004-11-10 -----END PRIVACY-ENHANCED MESSAGE-----