0000814585-21-000010.txt : 20210305 0000814585-21-000010.hdr.sgml : 20210305 20210305170326 ACCESSION NUMBER: 0000814585-21-000010 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210303 FILED AS OF DATE: 20210305 DATE AS OF CHANGE: 20210305 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: 21719413 MAIL ADDRESS: STREET 1: C/O MBIA 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 2021-03-03 0 0000814585 MBIA INC MBI 0001334233 Fallon William C C/O MBIA INC. 1 MANHATTANVILLE ROAD, SUITE 301 PURCHASE NY 10577 0 1 0 0 CEO & President Common Stock 2021-03-03 4 F 0 14505 7.1 D 2302966 D Represents shares surrendered to Issuer for payment of tax liability upon vesting of restricted stock. Balance reflects adjustment for retirement shares. /s/ Jonathan C. Harris, Attorney-in-Fact 2021-03-05