-----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, P17tbhRbsIXOAGZpCb7qpW5wHPT2XbV+naLNRJMmeaihvs52a0e10YaNVNw4VAtj IX3xRj9PF79FE2ql0dYnjA== 0000814585-04-000061.txt : 20040629 0000814585-04-000061.hdr.sgml : 20040629 20040629101641 ACCESSION NUMBER: 0000814585-04-000061 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20040625 FILED AS OF DATE: 20040629 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ROLLS JOHN A CENTRAL INDEX KEY: 0001198836 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 04887068 BUSINESS ADDRESS: STREET 1: 55 EAST CAMPERDOWN WAY STREET 2: C/O BOWATER INC CITY: GREENVILLE STATE: SC ZIP: 29601 BUSINESS PHONE: 864 282 9307 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2004-06-25 0 0000814585 MBIA INC MBI 0001198836 ROLLS JOHN A C/O MBIA 113 KING STREET ARMONK NY 10504 1 0 0 0 Phantom Stock Units 56.54 2004-06-25 4 A 0 53.96 56.54 A Common Stock 53.96 12766.45 D Phantom Stock Units 56.54 2004-06-25 4 A 0 13.62 56.54 A Common Stock 13.62 3221.47 D Dividends credited to units acquired under Directors Deferred Compensation Plan for Retainer and Meeting Fees. Exercisable and expiration dates of units is date of termination of Reporting Person's status as Director which triggers payment. Dividends credited to units previously acquired on annual grants under Directors Deferred Compensation Plan. LEONARD I. CHUBINSKY AS ATTORNEY IN FACT 2004-06-29 -----END PRIVACY-ENHANCED MESSAGE-----