0000814585-16-000047.txt : 20161207
0000814585-16-000047.hdr.sgml : 20161207
20161207164954
ACCESSION NUMBER: 0000814585-16-000047
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161205
FILED AS OF DATE: 20161207
DATE AS OF CHANGE: 20161207
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: WERTHEIM RAM D
CENTRAL INDEX KEY: 0001237582
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09583
FILM NUMBER: 162039518
MAIL ADDRESS:
STREET 1: 113 KING STREET
CITY: ARMONK
STATE: NY
ZIP: 10504
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0306
4
2016-12-05
0
0000814585
MBIA INC
MBI
0001237582
WERTHEIM RAM D
C/O MBIA INC.
1 MANHATTANVILLE ROAD, SUITE 301
PURCHASE
NY
10577
0
1
0
0
EVP, Chief Legal Off. & Secy
Common Stock
2016-12-05
4
M
0
200000
5.05
A
745561
D
Common Stock
2016-12-05
4
F
0
148983
10.67
D
596578
D
Common Stock
5.05
2016-12-05
4
M
0
200000
0
D
2015-03-04
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
2016-12-07