-----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, L64bFInz04NBqpcWzmHWCG4hYLAjQHfJ98/oa7aTs3YYrLYkgoTKziATKQyGt7gH k041bE3CI9UoIo8OKsDdzw== 0000814585-09-000033.txt : 20090622 0000814585-09-000033.hdr.sgml : 20090622 20090622173024 ACCESSION NUMBER: 0000814585-09-000033 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090618 FILED AS OF DATE: 20090622 DATE AS OF CHANGE: 20090622 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: 09904154 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 X0303 4 2009-06-18 1 0000814585 MBIA INC MBI 0001198836 ROLLS JOHN A C/O MBIA INC. 113 KING STREET ARMONK NY 10504 1 0 0 0 Common Stock 2009-06-18 4 M 0 52373 4.91 A 95715 D Hypothetical Share Units 4.91 2009-06-18 4 M 0 52373 D 2009-06-18 2009-06-18 Common Stock 52373 0 D Stock issued pursuant to conversion of Hypothetical Share Units under Directors' Deferred Compensation Plan resulting from termination of status as a Director. Disposition of Hypothetical Share Units through conversion to common stock issued upon termination of status as a Director. Column left blank in accordance with instructions to Form 4 relating to conversion of derivative security. /s/Leonard I. Chubinsky, Attorney-in-Fact 2009-06-22 -----END PRIVACY-ENHANCED MESSAGE-----