SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

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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1. Name and Address of Reporting Person*
Weeks Christopher E

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

(Street)
ARMONK NY 10504

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
06/09/2004
3. Issuer Name and Ticker or Trading Symbol
MBIA INC [ MBI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
Officer (give title below) X Other (specify below)
Member, Exec. Policy Committee
5. 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 Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 907.42(1) D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) 12/07/1997 12/07/2005 Common Stock 954(2) $25.71 D
Employee Stock Option (Right to Buy) 12/04/1998 12/04/2006 Common Stock 1,800(2) $33.96 D
Employee Stock Option (Right to Buy) 12/11/1999 12/11/2007 Common Stock 1,485(2) $42.79 D
Employee Stock Option (Right to Buy) 12/09/2000 12/09/2008 Common Stock 2,670(2) $42.5 D
Employee Stock Option (Right to Buy) 12/09/2001 12/09/2009 Common Stock 3,765(2) $32.54 D
Employee Stock Option (Right to Buy) 12/12/2002 12/12/2010 Common Stock 4,185(2) $48.58 D
Employee Stock Option (Right to Buy) 02/07/2004 02/07/2012 Common Stock 4,400(2) $52.81 D
Employee Stock Option (Right to Buy) 02/12/2005 02/12/2013 Common Stock 4,000(2) $36.69 D
Employee Stock Option (Right to Buy) 02/10/2005 02/10/2014 Common Stock 4,000(3) $64.84 D
Employee Stock Option (Right to Buy) 10/07/2007 10/07/2012 Common Stock 10,000(4) $36.72 D
Employee Stock Option (Right to Buy) 06/09/2009 06/09/2014 Common Stock 60,000(5) $55.6 D
Explanation of Responses:
1. Shares acquired prior to status as Reporting Person including a) 750 shares of restricted stock granted at $64.84 and vesting entirely in December 2008, and b) 157.42 shares held in Employee 401(k) Plan.
2. Options granted prior to status as a Reporting Person. Grant of options exempt under 16b-3 with 5 year gradual vesting: 0% on first anniversary; 40% on second anniversary; 20% each on third, fourth and fifth anniversary of the grant.
3. Options granted prior to status as a Reporting Person. Grant of options exempt under 16b-3 with vesting 25% on first anniversary; and 25% on second, third and fourth anniversary of grant.
4. Options granted prior to status as a Reporting Person. Options have cliff vesting - 100% on 5th anniversary of grant.
5. Grant of options having cliff vesting - 100% vested on 5th anniversary of grant.
LEONARD I. CHUBINSKY AS ATTORNEY IN FACT 06/22/2004
** 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 5 (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).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.