0000814585-17-000015.txt : 20170829 0000814585-17-000015.hdr.sgml : 20170829 20170829162329 ACCESSION NUMBER: 0000814585-17-000015 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170811 FILED AS OF DATE: 20170829 DATE AS OF CHANGE: 20170829 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Shasta Theodore CENTRAL INDEX KEY: 0001468776 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 171058235 MAIL ADDRESS: STREET 1: C/O MBIA INC. STREET 2: 113 KING STREET CITY: ARMONK STATE: NY ZIP: 10504 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 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-08-11 0 0000814585 MBIA INC mbi 0001468776 Shasta Theodore C/O MBIA INC. 1 MANHATTANVILLE ROAD, SUITE 301 PURCHASE NY 10577 1 0 0 0 Common Stock 2017-08-11 4 S 0 13967 10.3 D 87850 D Common Stock 2017-08-15 4 P 0 20000 10.41 A 20000 I IRA Account /s/ Jonathan C. Harris Attorney-in-Fact 2017-08-29