0001140361-16-046358.txt : 20160104 0001140361-16-046358.hdr.sgml : 20160104 20160104202938 ACCESSION NUMBER: 0001140361-16-046358 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20151231 FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20160104 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: WERTHEIM RAM D CENTRAL INDEX KEY: 0001237582 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 161319952 MAIL ADDRESS: STREET 1: 113 KING STREET CITY: ARMONK STATE: NY ZIP: 10504 4 1 doc1.xml FORM 4 X0306 4 2015-12-31 0 0000814585 MBIA INC MBI 0001237582 WERTHEIM RAM D C/O MBIA INC 1 MANHATTANVILLE ROAD, SUITE 301 PURCHASE NY 10577 0 1 0 0 EVP, Chief Legal Off. & Secy. Common Stock 2015-12-31 4 F 0 68483 6.48 D 427787 D Represents shares surrendered to Issuer for payment of tax liability upon vesting of restricted stock. Balance reflects adjustment for retirement plan shares. /s/ Ram D. Wertheim 2016-01-04