0000814585-17-000014.txt : 20170706 0000814585-17-000014.hdr.sgml : 20170706 20170706161726 ACCESSION NUMBER: 0000814585-17-000014 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170703 FILED AS OF DATE: 20170706 DATE AS OF CHANGE: 20170706 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: 17952287 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 2017-07-03 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 2017-07-03 4 A 0 331 9.7 A 25822 D Hypothetical Stock Units 9.7 2017-07-03 4 A 0 995.49 9.7 A Common Stock 995.49 4922.25 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/Jonathan C. Harris Attorney-in-Fact 2017-07-06