0000814585-16-000043.txt : 20161005 0000814585-16-000043.hdr.sgml : 20161005 20161005165751 ACCESSION NUMBER: 0000814585-16-000043 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20161003 FILED AS OF DATE: 20161005 DATE AS OF CHANGE: 20161005 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: Chin Francis Y CENTRAL INDEX KEY: 0001681624 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 161923090 MAIL ADDRESS: STREET 1: C/O MBIA INC. STREET 2: 1 MANHATTANVILLE ROAD CITY: PURCHASE STATE: NY ZIP: 10577 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2016-10-03 0 0000814585 MBIA INC MBI 0001681624 Chin Francis Y C/O MBIA INC. 1 MANHATTANVILLE ROAD PURCHASE NY 10577 1 0 0 0 Common Stock 2016-10-03 4 A 0 665 7.79 A 12728 D Hypothetical Stock Units 7.79 2016-10-03 4 A 0 1997.754 7.79 A Common Stock 1997.754 1997.754 D Shares acquired in payment of director retainer and meeting fees. 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 Director which triggers payment. /s/ Ram D. Wertheim 2016-10-05