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*
BROWN JOSEPH W

(Last) (First) (Middle)
C/O MBIA
113 KING STREET

(Street)
ARMONK NY 10504

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
MBIA INC [ MBI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
X Officer (give title below) Other (specify below)
Chairman and CEO
3. Date of Earliest Transaction (Month/Day/Year)
02/10/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
02/12/2004
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 Stock(1)(3) 02/10/2004 A 127,000 A $64.84 782,831 D
Common Stock(2)(3) 02/10/2004 A 28,739 A $64.84 811,570 D
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
Explanation of Responses:
1. Restricted stock granted pursuant to Long-Term Incentive Plan, under 16b-3 exemption. The restricted stock may not be sold or pledged for a specified time period. The number of shares of restricted stock that will ultimately vest will be tied to growth in Modified Book Value of the Company (MBV) from January 1, 2004 through the end of the restricted period. If MBV appreciation from January 1, 2004 through the end of the restricted period is zero then no restricted stock will vest, and if MBV is 50% through the end of the restricted period then 100% of the restricted stock will vest, with intermediate levels of vesting to be determined by linear interpolation (e.g., MBV appreciation of 25% will result in 50% of the restricted stock vesting).
2. Restricted stock award granted under 16b-3 exemption. Represents conversion of cash value of modified book value award for 2000 into restricted stock. The restricted stock cannot be sold or pledged until the first day after a consecutive ten day period that ends on or before December 31, 2005 and during which the Company's stock has traded at $70 or above on each day of the ten-day period. If this price target has not been met on or before December 31, 2005, all of the restricted stock is forfeited.
3. This form is being amended to add information regarding the vesting provisions of the restricted stock as described in Footnotes 1 and 2.
LEONARD A. CHUBINSKY AS ATTORNEY IN FACT 03/31/2004
** 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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