-----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, NiAAgtqfHismrKynuTY+/G5w8sPLkW7M/qZTSZEl7ySS6kn/NWrtcDkL1gFzCyzE rquttPHUTiCAxfsemIEReQ== 0000814585-04-000047.txt : 20040506 0000814585-04-000047.hdr.sgml : 20040506 20040506171447 ACCESSION NUMBER: 0000814585-04-000047 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040506 FILED AS OF DATE: 20040506 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 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 04785971 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 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-05-06 0 0000814585 MBIA INC MBI 0001205159 BROWN JOSEPH W MBIA 113 KING STREET ARMONK NY 10504 1 1 0 0 Chairman Common Stock 2004-05-06 4 A 0 200000 57.3 A 1011855 D Restricted stock granted pursuant to a one time long-term incentive award under 16b-3 exemption in order to retain Mr. Brown's services as executive Chairman and to link a portion of his compensation to long-term performance. 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. The award will not vest before Mr. Brown's retirement date. If MBV appreciation from January 1, 2004 iz zero, then no restricted stock will vest, and if MBV appreciation is 50% 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). Beneficial ownership amount as adjusted for addition to 401(k) Plan. LEONARD I. CHUBINSKY AS ATTORNEY IN FACT 2004-05-06 -----END PRIVACY-ENHANCED MESSAGE-----