-----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, GJmPc+jPoKTmTdNLi9a/9/flnZJ0PXnvfe2OWRIUqRl8v9wLmjf3TRwqjwOPrwYx FuDVJKszt/H/P7SYwoJPWg== 0001225208-09-020174.txt : 20091005 0001225208-09-020174.hdr.sgml : 20091005 20091005153921 ACCESSION NUMBER: 0001225208-09-020174 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20091001 FILED AS OF DATE: 20091005 DATE AS OF CHANGE: 20091005 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: EVARD JOHN E JR CENTRAL INDEX KEY: 0001184187 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 091105513 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: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] IRS NUMBER: 000000000 STATE OF INCORPORATION: D0 FISCAL YEAR END: 0929 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 doc4.xml X0303 4 2009-10-01 0000833444 TYCO INTERNATIONAL LTD /BER/ TYC 0001184187 EVARD JOHN E JR 9 ROSZEL ROAD PRINCETON NJ 08540 1 SVP, Tax Performance Share Units 0 2009-10-01 5 A 0 16200 0 A Common Shares 16200 50900 D Stock Option (Right to Buy) 33.75 2009-10-01 4 A 0 58200 0 A 2019-09-30 Common Shares 58200 58200 D Upon vesting, the reporting person will receive a distribution of common shares based on the performance target (total shareholder return relative to a specified index). Amount presented represents target number of shares that may be distributed. The maximum number that may be distributed is equal to two times target amount. These performance share units vest, to the extent the performance targets are obtained, on 9/30/2012. Includes 34,700 performance share units previously reported voluntarily with different vesting terms. Subject to acceleration upon certain events, options become exercisable in four equal installments on each of the first, second, third and fourth anniversary of the grant date. John S. Jenkins, attorney-in-fact 2009-10-05 -----END PRIVACY-ENHANCED MESSAGE-----