-----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, TsvjOavb/0MUzu3CWWSXyXBCY0HRJa3ZANwIYDamJmOGDdGDF1n4gayO/0O+kLy1 LbgeTLXD4gBGdwdvg/oUlQ== 0000814585-05-000086.txt : 20051004 0000814585-05-000086.hdr.sgml : 20051004 20051004164824 ACCESSION NUMBER: 0000814585-05-000086 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20051003 FILED AS OF DATE: 20051004 DATE AS OF CHANGE: 20051004 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: ROLLS JOHN A CENTRAL INDEX KEY: 0001198836 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 051122281 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0202 4 2005-10-03 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 58.28 2005-10-03 4 A 0 527.625 58.28 A Common Stock 527.625 15531.32 D Contributions 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 a Director which triggers payment. /s/ Leonard I. Chubinsky, Attorney-in-Fact 2005-10-04 -----END PRIVACY-ENHANCED MESSAGE-----