-----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, Oun6nLBG0ytZMR2bJv4CVovb62i5s8JxSCVrD/imL9yMuMB6qAtxqQBc39anSXM5 HU3aNRZgwTr2PvrjCYRvfQ== 0000814585-04-000016.txt : 20040225 0000814585-04-000016.hdr.sgml : 20040225 20040225110142 ACCESSION NUMBER: 0000814585-04-000016 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040212 FILED AS OF DATE: 20040225 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: RANDOLPH ANDREA E CENTRAL INDEX KEY: 0001280683 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 04626484 BUSINESS ADDRESS: STREET 1: 113 KING STREET CITY: ARMONK STATE: NY ZIP: 10504 BUSINESS PHONE: 917-765-3914 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MBIA INC CENTRAL INDEX KEY: 0000814585 STANDARD INDUSTRIAL CLASSIFICATION: SURETY INSURANCE [6351] IRS NUMBER: 061185706 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 113 KING ST CITY: ARMONK STATE: NY ZIP: 10504 BUSINESS PHONE: 914-273-4545 MAIL ADDRESS: STREET 1: 113 KING ST CITY: ARMONK STATE: NY ZIP: 10504 3/A 1 primary_doc.xml PRIMARY DOCUMENT X0201 3/A 2004-02-12 2004-02-20 0 0000814585 MBIA INC MBI 0001280683 RANDOLPH ANDREA E C/O MBIA 113 KING STREET ARMONK NY 10504 0 1 0 0 Vice President Common Stock 1307 D Employee Stock Option (right to buy) 48.53 2001-12-12 2010-12-12 Common Stock 312 D Employee Stock Option (right to buy) 52.81 2003-02-07 2012-02-07 Common Stock 750 D Employee Stock Option (right to buy) 36.69 2005-02-12 2013-02-12 Common Stock 2500 D Shares acquired prior to status as Reporting Person including a) 750 shares of restricted stock vesting entirely in December 2005, and b) 557 shares held in Employee 401(k) Plan. 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. 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. ANDREA E. RANDOLPH 2004-02-25 -----END PRIVACY-ENHANCED MESSAGE-----