-----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, Q425IzB87R3euY4/MU4SOqZHC0P7zZw2NXkKZBul+ro2JiYXfNCLX59wChCZTTpo DOesijDWRQmcaa/gHG/dkQ== 0000814585-05-000078.txt : 20050927 0000814585-05-000078.hdr.sgml : 20050927 20050927163614 ACCESSION NUMBER: 0000814585-05-000078 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20050923 FILED AS OF DATE: 20050927 DATE AS OF CHANGE: 20050927 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: 051105741 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 2005-09-23 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 57.21 2005-09-23 4 A 0 73.074 57.21 A Common Stock 73.074 15003.69 D Phantom Stock Units 57.21 2005-09-23 4 A 0 16.046 57.21 A Common Stock 16.046 3294.68 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 2005-09-27 -----END PRIVACY-ENHANCED MESSAGE-----