0000814585-13-000003.txt : 20130220 0000814585-13-000003.hdr.sgml : 20130220 20130220141406 ACCESSION NUMBER: 0000814585-13-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20130218 FILED AS OF DATE: 20130220 DATE AS OF CHANGE: 20130220 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BROWN JOSEPH W CENTRAL INDEX KEY: 0001205159 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 13626184 MAIL ADDRESS: STREET 1: C/O SAFECO STREET 2: 4333 BROOKLYN AVENUE NE CITY: SEATTLE STATE: WA ZIP: 98185 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 X0306 4 2013-02-18 0 0000814585 MBIA INC MBI 0001205159 BROWN JOSEPH W C/O MBIA INC. 113 KING STREET ARMONK NY 10504 1 1 0 0 Chief Executive Officer Common Stock 2013-02-18 4 D 0 2925990 0 D 703456 D Common Stock 749000 I By Family Trust Represents forfeiture of restricted stock originally granted pursuant to approval at Annual Shareholders Meeting on May 1, 2008. The grant provided for full forfeiture of restricted stock if the Company's common stock did not maintain an average closing share price in excess of $16.20 on each day of a consecutive 20-day period on or before February 18, 2013. Such condition was not met resulting in the forfeiture of these shares. The reporting person disclaimed beneficial ownership of these shares. /s/Leonard I. Chubinsky, Attorney-in-Fact 2013-02-20