0000814585-14-000023.txt : 20141002
0000814585-14-000023.hdr.sgml : 20141002
20141002160341
ACCESSION NUMBER: 0000814585-14-000023
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20141001
FILED AS OF DATE: 20141002
DATE AS OF CHANGE: 20141002
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: 1 MANHATTANVILLE ROAD
STREET 2: SUITE 301
CITY: PURCHASE
STATE: NY
ZIP: 10577
BUSINESS PHONE: 914-273-4545
MAIL ADDRESS:
STREET 1: 1 MANHATTANVILLE ROAD
STREET 2: SUITE 301
CITY: PURCHASE
STATE: NY
ZIP: 10577
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: COULTER DAVID A
CENTRAL INDEX KEY: 0001179577
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09583
FILM NUMBER: 141136413
MAIL ADDRESS:
STREET 1: C/O WARBURG PINCUS LLC
STREET 2: 450 LEXINGTON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10017
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2014-10-01
0
0000814585
MBIA INC
MBI
0001179577
COULTER DAVID A
C/O MBIA INC.
1 MANHATTANVILLE ROAD, SUITE 301
PURCHASE
NY
10577
1
0
0
0
Common Stock
2014-10-01
4
A
0
3318
9.04
A
195299
D
Common Stock
73452685
I
See footnotes
Shares acquired in payment of director retainer and meeting fees.
Warburg Pincus Private Equity X, L.P., a Delaware limited partnership (together with an affiliated limited partnership, "WP X") is the holder of (a) 45,622,877 shares of Common Stock and (b) warrants exercisable for 27,829,808 shares of Common Stock.
Warburg Pincus X L.P., a Delaware limited partnership ("WP X LP") is the general partner of WP X; Warburg Pincus X LLC, a Delaware limited liability company ("WP X LLC") is the general partner of WP X LP; Warburg Pincus Partners, L.P., a Delaware limited partnership and successor in interest to Warburg Pincus Partners LLC ("WP Partners"), is the general partner of WP X LLC; Warburg Pincus Partners GP LLC, a Delaware limited liability company ("Partners GP") is the general partner of WP Partners; Warburg Pincus & Co., a New York general partnership ("WP") is the managing member of Partners GP; Warburg Pincus LLC, a New York limited liability company ("WP LLC") manages WP X; and Messrs. Charles R. Kaye and Joseph P. Landy, each a Managing General Partner of WP and Managing Member and Co-Chief Executive Officer of WP LLC, who may be deemed to control the Warburg Pincus entities.
Pursuant to Rule 16a-1(a)(4) of the Securities Exchange Act of 1934, as amended, (the "Act") each of WP X LP, WP X LLC, WP Partners, Partners GP, WP, WP LLC, and Messrs. Kaye and Landy disclaims beneficial ownership of the Common Stock and the warrants exercisable for Common Stock, except to the extent of its or his pecuniary interest in such shares of Common Stock or such warrants exercisable for Common Stock.
Pursuant to Rule 16a-1(a)(4) of the Act, Mr. David A. Coulter herein states that this filing shall not be deemed an admission that he is the beneficial owner of any of the shares of Common Stock held by WP X or of any of the warrants exercisable for Common Stock held by WP X. Mr. Coulter disclaims beneficial ownership of such Common Stock and such warrants exercisable for Common Stock, except to the extent of his pecuniary interest in such shares of Common Stock and in such warrants exercisable for Common Stock.
/s/Andrew Hughes, Attorney-in-Fact
2014-10-02