-----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, Pb+hJDaiyDHDksRb7n31a8RdDot6+4Uol0E3bJLbv0zmB1tPW6t+VsTQTSz9xKXw y7ujNlZlSdns3yp7f3x1OA== 0000814585-04-000105.txt : 20041228 0000814585-04-000105.hdr.sgml : 20041228 20041228124644 ACCESSION NUMBER: 0000814585-04-000105 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041223 FILED AS OF DATE: 20041228 DATE AS OF CHANGE: 20041228 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CLAPP DAVID C CENTRAL INDEX KEY: 0001029596 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 041227939 BUSINESS ADDRESS: BUSINESS PHONE: 2127726899 MAIL ADDRESS: STREET 1: 160 EAST 72ND ST STREET 2: APT 9 CITY: NEW YORK STATE: NY ZIP: 10021 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 2004-12-23 0 0000814585 MBIA INC MBI 0001029596 CLAPP DAVID C C/O MBIA 113 KING STREET ARMONK NY 10504 1 0 0 0 Phantom Stock Units 62.9 2004-12-23 4 A 0 39.34 62.9 A Common Stock 39.34 10349.96 D Phantom Stock Units 62.9 2004-12-23 4 A 0 12.34 62.9 A Common Stock 12.34 3247.14 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. /s/Leonard I. Chubinsky, Attorney-in-Fact 2004-12-28 -----END PRIVACY-ENHANCED MESSAGE-----