0000814585-18-000035.txt : 20181113 0000814585-18-000035.hdr.sgml : 20181113 20181113165223 ACCESSION NUMBER: 0000814585-18-000035 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181108 FILED AS OF DATE: 20181113 DATE AS OF CHANGE: 20181113 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Bergonzi Adam T. CENTRAL INDEX KEY: 0001717578 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 181178763 MAIL ADDRESS: STREET 1: C/O MBIA INC. STREET 2: 1 MANHATTANVILLE ROAD CITY: PURCHASE STATE: NY ZIP: 10577 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 2018-11-08 0 0000814585 MBIA INC MBI 0001717578 Bergonzi Adam T. C/O MBIA INC. 1 MANHATTANVILLE ROAD PURCHASE NY 10577 0 1 0 0 Assistant Vice President Common Stock 2018-11-08 4 A 0 500000 0 A 643604 D Restricted stock granted pursuant to long-term incentive award under the MBIA Inc. 2005 Omnibus Incentive Plan, as amended. The restricted stock will cliff vest on March 3, 2025 provided Mr. Bergonzi remains continuously employed through such date. Balance reflects adjustment for retirement plan shares. /s/ Jonathan C. Harris, Attorney-in-Fact 2018-11-13