SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
BREEN EDWARD D

(Last) (First) (Middle)
9 ROSZEL ROAD

(Street)
PRINCETON NJ 08540

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
TYCO INTERNATIONAL LTD [ TYC ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
09/28/2012
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Shares 09/28/2012 M 251,800(1) A $0.0000 494,274 D
Common Shares 09/28/2012 F 103,112 D $27.7 391,162 D
Common Shares 92,000 I 2012 GRAT - 6
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Performance Share Units (2) 09/28/2012 M 125,900 (3) (3) Common Shares 125,900 $0.0000 237,340(4) D
Explanation of Responses:
1. 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.
2. 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.
3. These performance share units granted in 2009 vested on September 28, 2012.
4. 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 10/02/2012
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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