0001209191-15-008326.txt : 20150202
0001209191-15-008326.hdr.sgml : 20150202
20150202172649
ACCESSION NUMBER: 0001209191-15-008326
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20150130
FILED AS OF DATE: 20150202
DATE AS OF CHANGE: 20150202
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: CARNEY SEAN
CENTRAL INDEX KEY: 0001239312
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-09583
FILM NUMBER: 15568290
MAIL ADDRESS:
STREET 1: C/O WARBURG PINCUS LLC
STREET 2: 450 LEXINGTON AVENUE
CITY: NEW YORK
STATE: NY
ZIP: 10017
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2015-01-30
0
0000814585
MBIA INC
MBI
0001239312
CARNEY SEAN
C/O WARBURG PINCUS LLC,
450 LEXINGTON AVENUE
NEW YORK
NY
10017
1
0
0
0
Common Stock
28140
D
Common Stock
2015-01-30
4
J
0
21914446
D
51538239
I
See footnotes
This Form 4 is being filed to reflect the expiration on January 30, 2015 of (1) a Warrant, dated as of January 30, 2008, exercisable for 11,819,185 shares of Common Stock at an exercise price of $29.44 per share (the "Warrant") and (2) a B-Warrant, dated as of January 30, 2008, exercisable for 10,095,261 shares of Common Stock at an exercise price of $29.44 per share (the "B-Warrant"). Following such expiration, Warburg Pincus Private Equity X, L.P., a Delaware limited partnership, and its affiliated partnership ("WP X"), is the holder of (a) 45,622,877 shares of Common Stock and (b) 3 warrants exercisable for 5,915,362 shares of Common Stock.
Warburg Pincus X, L.P., a Delaware limited partnership ("WP X LP"), is the general partner of WP X; Warburg Pincus X GP L.P., a Delaware limited partnership ("WP X GP"), is the general partner of WP X LP; WPP GP LLC, a Delaware limited liability company ("WPP GP"), is the general partner of WP X GP; Warburg Pincus Partners, L.P., a Delaware limited partnership ("WP Partners"), is the managing member of WPP GP; Warburg Pincus Partners GP LLC, a Delaware limited liability company ("WPP GP LLC"), is the general partner of WP Partners; Warburg Pincus & Co., a New York general partnership ("WP"), is the managing member of WPP GP LLC; Warburg Pincus LLC, a New York limited liability company ("WP LLC"), is the manager of WP X; and Messrs. Charles R. Kaye and Joseph P. Landy, each a Managing General Partner of WP and Managing Member and Co-Chief Executive Officer of WP LLC, who may be deemed to control the Warburg Pincus entities.
Pursuant to Rule 16a-1(a)(4) of the Securities Exchange Act of 1934, as amended, (the "Act") each of WP X LP, WP X GP, WPP GP, WP Partners, WPP GP LLC, WP, WP LLC, and Messrs. Kaye and Landy disclaims beneficial ownership of the Common Stock and the warrants exercisable for Common Stock, except to the extent of its or his pecuniary interest in such shares of Common Stock or such warrants exercisable for Common Stock.
Pursuant to Rule 16a-1(a)(4) of the Act, Mr. Sean D. Carney, a Partner of WP and Member and Managing Di-rector of WP LLC, herein states that this filing shall not be deemed an admission that he is the beneficial owner of any of the shares of Common Stock held by WP X or of any of the warrants exercisable for Common Stock of MBIA Inc. held by WP X. Mr. Carney disclaims beneficial ownership of such Common Stock and such warrants exercisable for Common Stock, except to the extent of his pecuniary interest in such shares of Common Stock and in such warrants exercisable for Common Stock.
/s/ Sean Carney
2015-02-02