0000814585-21-000034.txt : 20210601
0000814585-21-000034.hdr.sgml : 20210601
20210601160326
ACCESSION NUMBER: 0000814585-21-000034
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210528
FILED AS OF DATE: 20210601
DATE AS OF CHANGE: 20210601
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: 21985215
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
2021-05-28
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
2021-05-28
4
S
0
20696
10
D
52049
D
The reporting officer via an IRA ("Individual Retirement Account") indirectly owns an additional 20,000 shares of the issuer's stock as reported upon the reporting officer's previously filed August 29, 2017 Form 4 filing.
/s/ Jonathan C. Harris, Attorney-in-Fact
2021-06-01