-----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, GOJKg2gaAxJqhQ/Ev6dRWCxwsdeVLkfnCXrxUCxfMfeSFvkvsr1UPiW4aCUKpVZH O9kPAq6r8X9A+YiiS/rF4w== 0001277489-04-000002.txt : 20040127 0001277489-04-000002.hdr.sgml : 20040127 20040127120318 ACCESSION NUMBER: 0001277489-04-000002 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040126 FILED AS OF DATE: 20040127 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: DAVIDSON CAROL ANTHONY CENTRAL INDEX KEY: 0001277489 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-13836 FILM NUMBER: 04545418 BUSINESS ADDRESS: STREET 1: C/O TYCO INTERNATIONAL STREET 2: 9 ROSZEL ROAD CITY: PRINCETON STATE: NJ ZIP: 08540 BUSINESS PHONE: 6097204338 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 4 1 dav200.xml X0201 4 2004-01-26 0 0000833444 TYCO INTERNATIONAL LTD /BER/ TYC 0001277489 DAVIDSON CAROL ANTHONY C/O TYCO INTERNATIONAL (US) INC. 9 ROSZEL ROAD PRINCETON NJ 08540 0 1 0 0 SVP and Controller Common Shares 2004-01-26 4 A 0 20000 0 A 20300.00 D Stock Option (Right to Buy) 27.51 2004-01-26 4 A 0 100000 0 A 2014-01-26 Common Shares 100000.00 100000.00 D Restricted Stock with Three Year Cliff Vesting Exercisable in equal annual installments over a three year period commencing on the first anniversary of the grant date. By: Judith A. Reinsdorf, Attorney-In-Fact 2004-01-27 -----END PRIVACY-ENHANCED MESSAGE-----