0000814585-23-000005.txt : 20230109 0000814585-23-000005.hdr.sgml : 20230109 20230109164044 ACCESSION NUMBER: 0000814585-23-000005 CONFORMED SUBMISSION TYPE: 5 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221231 FILED AS OF DATE: 20230109 DATE AS OF CHANGE: 20230109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Avitabile Daniel M. CENTRAL INDEX KEY: 0001717524 FILING VALUES: FORM TYPE: 5 SEC ACT: 1934 Act SEC FILE NUMBER: 001-09583 FILM NUMBER: 23518591 MAIL ADDRESS: STREET 1: C/O MBIA INC. STREET 2: 1 MANHATTANVILLE ROAD CITY: PURCHASE STATE: NY ZIP: 10577 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 5 1 primary_doc.xml PRIMARY DOCUMENT X0306 5 2022-12-31 0 0 0 0000814585 MBIA INC MBI 0001717524 Avitabile Daniel M. C/O MBIA INC. 1 MANHATTANVILLE ROAD PURCHASE NY 10577 0 1 0 0 Assistant Vice President Common Stock 2022-12-31 5 D 0 4357 0 D 601521 D Represents forfeiture of previously granted restricted stock award due to non-achievement of performance criteria. /s/ Jonathan C. Harris, Attorney-in-Fact 2023-01-09