-----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, CEuDejU8l7Tz8qO16UQM4kidEaPw4VNwwkObHa03eJBxapMocXSW7x0JUrhSM/LG bWbLpegKxC2d7LyZwzsKPg== 0000814585-04-000037.txt : 20040331 0000814585-04-000037.hdr.sgml : 20040331 20040331095633 ACCESSION NUMBER: 0000814585-04-000037 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040210 FILED AS OF DATE: 20040331 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROWN JOSEPH W CENTRAL INDEX KEY: 0001205159 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 04703946 BUSINESS ADDRESS: STREET 1: C/O SAFECO STREET 2: 4333 BROOKLYN AVENUE NE CITY: SEATTLE STATE: WA ZIP: 98185 BUSINESS PHONE: 2065455000 MAIL ADDRESS: STREET 1: C/O SAFECO STREET 2: 4333 BROOKLYN AVENUE NE CITY: SEATTLE STATE: WA ZIP: 98185 4/A 1 primary_doc.xml PRIMARY DOCUMENT X0201 4/A 2004-02-10 2004-02-12 0 0000814585 MBIA INC MBI 0001205159 BROWN JOSEPH W C/O MBIA 113 KING STREET ARMONK NY 10504 1 1 0 0 Chairman and CEO Common Stock 2004-02-10 4 A 0 127000 64.84 A 782831 D Common Stock 2004-02-10 4 A 0 28739 64.84 A 811570 D 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). 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. 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 2004-03-31 -----END PRIVACY-ENHANCED MESSAGE-----