0001225208-12-020756.txt : 20121002 0001225208-12-020756.hdr.sgml : 20121002 20121002201027 ACCESSION NUMBER: 0001225208-12-020756 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120928 FILED AS OF DATE: 20121002 DATE AS OF CHANGE: 20121002 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: 121125117 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 X0306 4 2012-09-28 0000833444 TYCO INTERNATIONAL LTD TYC 0001223619 BREEN EDWARD D 9 ROSZEL ROAD PRINCETON NJ 08540 1 Common Shares 2012-09-28 4 M 0 251800.0000 0.0000 A 494274.0000 D Common Shares 2012-09-28 4 F 0 103112.0000 27.7000 D 391162.0000 D Common Shares 92000.0000 I 2012 GRAT - 6 Performance Share Units 2012-09-28 4 M 0 125900.0000 0.0000 D Common Shares 125900.0000 237340.0000 D Represents gross number of shares awarded upon payout of performance share units granted in 2009. 251,800 shares were delivered based on performance results through June 29, 2012. These performance share units were initially reported on a voluntary basis as a derivative at target amount of 125,900 units. Upon vesting, the reporting person will receive a distribution of common shares based on performance targets. For all performance share units outstanding at the time, performance was determined as of June 29, 2012 in advance of Tyco's spin-offs of its ADT residential security business and flow control business. Amounts presented reflect the number of shares (adjusted for performance results) that will be delivered upon vesting. These performance share units granted in 2009 vested on September 28, 2012. Upon vesting, the reporting person will receive a distribution of common shares based on performance targets. For all performance share units outstanding at the time, performance was determined as of June 29, 2012 in advance of Tyco's spin-offs of its ADT residential security business and flow control business. Amounts presented reflect the number of shares (adjusted for performance results) that will be delivered upon vesting Kevin J. Coen, attorney-in-fact 2012-10-02