0001225208-12-012538.txt : 20120516 0001225208-12-012538.hdr.sgml : 20120516 20120516135455 ACCESSION NUMBER: 0001225208-12-012538 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120515 FILED AS OF DATE: 20120516 DATE AS OF CHANGE: 20120516 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BREEN EDWARD D CENTRAL INDEX KEY: 0001223619 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 12848221 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 X0305 4 2012-05-15 0000833444 TYCO INTERNATIONAL LTD TYC 0001223619 BREEN EDWARD D 9 ROSZEL ROAD PRINCETON NJ 08540 1 1 Chairman and CEO Common Shares 2012-05-15 5 J 0 92000.0000 0.0000 D 242446.0000 D Common Shares 2012-05-15 5 J 0 92000.0000 0.0000 A 92000.0000 I 2012 GRAT - 6 Reported transaction is between the reporting person and the Edward D. Breen 2012-6 GRAT pursuant to the terms of the Trust. John S. Jenkins, attorney-in-fact 2012-05-16