0000814585-16-000046.txt : 20161201
0000814585-16-000046.hdr.sgml : 20161201
20161201160625
ACCESSION NUMBER: 0000814585-16-000046
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161129
FILED AS OF DATE: 20161201
DATE AS OF CHANGE: 20161201
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: Fallon William C
CENTRAL INDEX KEY: 0001334233
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09583
FILM NUMBER: 162028398
MAIL ADDRESS:
STREET 1: C/O MBIA
STREET 2: 113 KING STREET
CITY: ARMONK
STATE: NY
ZIP: 10504
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-11-29
0
0000814585
MBIA INC
MBI
0001334233
Fallon William C
C/O MBIA
1 MANHATTANVILLE ROAD, SUITE 301
PURCHASE
NY
10577
0
1
0
0
President & COO
Common Stock
2016-11-29
4
M
0
200000
5.05
A
1240334
D
Common Stock
2016-11-29
4
F
0
150676
10.29
D
1089658
D
Common Stock
5.05
2016-11-29
4
M
0
200000
0
A
2016-11-29
2017-03-04
Common Stock
200000
0
D
Represents shares acquired pursuant to Net Settlement Procedure for exercise of employee stock options.
Balance reflects adjustment for retirement plan shares.
Represents shares forfeited pursuant to Net Settlement Procedure for exercise of employee stock options.
/S/ Ram D. Wertheim Attorney-in-Fact
2016-12-01