0000814585-23-000029.txt : 20230516 0000814585-23-000029.hdr.sgml : 20230516 20230516165606 ACCESSION NUMBER: 0000814585-23-000029 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230512 FILED AS OF DATE: 20230516 DATE AS OF CHANGE: 20230516 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: 23928395 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 X0407 4 2023-05-12 0 0000814585 MBIA INC MBI 0001468776 Shasta Theodore C/O MBIA INC. 1 MANHATTANVILLE ROAD - SUITE 301 PURCHASE NY 10577 1 0 0 0 0 Common Stock 2023-05-12 4 A 0 12821 7.8 A 87528 D Restricted Stock granted on May 12, 2023 at a price of $7.80 per share with 1 year vesting on May 12, 2024. The reporting person via an IRA ("Individual Retirement Account") owns 20,000 shares of the issuer's common stock, which shares are included in the total herein. /s/ Jonathan C. Harris, Attorney-in-Fact 2023-05-16