0001225208-11-023346.txt : 20111014 0001225208-11-023346.hdr.sgml : 20111014 20111014165314 ACCESSION NUMBER: 0001225208-11-023346 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20111012 FILED AS OF DATE: 20111014 DATE AS OF CHANGE: 20111014 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SIEGEL LAURIE CENTRAL INDEX KEY: 0001223626 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 111142292 MAIL ADDRESS: STREET 1: C/O TYCO INTERNATIONAL (US) INC STREET 2: 9 WEST 57TH ST 43RD FL. CITY: NEW YORK STATE: NY ZIP: 10019 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TYCO INTERNATIONAL LTD CENTRAL INDEX KEY: 0000833444 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MISCELLANEOUS BUSINESS SERVICES [7380] IRS NUMBER: 000000000 STATE OF INCORPORATION: V8 FISCAL YEAR END: 0925 BUSINESS ADDRESS: STREET 1: FREIER PLATZ 10 CITY: SCHAFFHAUSEN STATE: V8 ZIP: CH-8200 BUSINESS PHONE: 609-720-4200 MAIL ADDRESS: STREET 1: C/O TYCO INTERNATIONAL MANAGEMENT CO STREET 2: 9 ROSZEL ROAD CITY: PRINCETON STATE: NJ ZIP: 08540 FORMER COMPANY: FORMER CONFORMED NAME: TYCO INTERNATIONAL LTD /BER/ DATE OF NAME CHANGE: 19970715 FORMER COMPANY: FORMER CONFORMED NAME: ADT LIMITED DATE OF NAME CHANGE: 19930601 4 1 doc4.xml X0304 4 2011-10-12 0000833444 TYCO INTERNATIONAL LTD TYC 0001223626 SIEGEL LAURIE 9 ROSZEL ROAD PRINCETON NJ 08540 1 SVP, Human Resources Common Shares 2011-10-12 4 M 0 37152.0000 0.0000 A 72227.0000 D Common Shares 2011-10-12 4 A 0 5800.0000 0.0000 A 78027.0000 D Common Shares 2011-10-12 4 F 0 819.0000 44.3250 D 77208.0000 D Common Shares 2011-10-13 4 F 0 17221.0000 43.8350 D 59987.0000 D Performance Share Units 2011-10-12 5 A 0 11700.0000 0.0000 A Common Shares 11700.0000 45121.0000 D Performance Share Units 2011-10-12 4 M 0 25800.0000 0.0000 D Common Shares 25800.0000 33421.0000 D Stock Option (Right to Buy) 44.3200 2011-10-12 4 A 0 43400.0000 0.0000 A 2021-10-11 Common Shares 43400.0000 43400.0000 D Represents gross number of shares awarded upon payout of performance share units granted in 2008. 37,152 shares were delivered based on performance results. These performance share units were voluntarily reported as a derivative security at target amount of 25,800 units. Payout reflects performance achieved based on Tyco's total shareholder return relative to the S&P 500 Industrials Index over the performance period. Reflects grant of restricted stock units that, subject to acceleration upon certain events, vest in four equal installments on each of the first, second, third and fourth anniversary of the grant date. Restricted stock units accrue dividend equivalent units. Upon vesting, the reporting person will receive a distribution of common shares based on the performance target. 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 9/26/2014. Includes performance share units previously reported voluntarily with different vesting terms. 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. Reflects vesting of performance share units on 10/12/2011. These performance share units were voluntarily reported as a derivative unit at target amount of 25,800 units. Payout reflects performance achieved based on Tyco's total shareholder return relative to the S&P 500 Industrials Index over the performance period. 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 2011-10-14