SEC Form 3 · accession 0000899243-17-022571
MBIA INC · MBI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Adam T. Bergonzi
Officer — AVP & Chief Portfolio Officer
Period of report
Sep 15, 2017
Accepted (ET)
Sep 25, 2017 · 5:46 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000814585
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | holding | — | — | — | 87,589 | D | ||
| Common StockF2 | holding | — | — | — | 429 | I | By Spouse |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Shares acquired prior to status as Reporting Person including a) 17,675 shares held in the Reporting Person's accounts; b) 3,193 shares of restricted stock granted at $12.78 per share and vesting entirely in March 2018, 5,444 shares of restricted stock granted at $14.99 per share and vesting 50% in March 2018 and 50% in March 2019, 13,063 shares of restricted stock granted at $9.37 per share and vesting in one-third increments in each of March 2018, 2019 and 2020, 20,427 shares of restricted stock granted at $8.44 per share and vesting in one-third increments in March 2019, 2020 and 2021, and 12,777 shares of restricted stock granted at $9.58 per share and vesting in one-third increments in March 2020, 2021 and 2022 and c) 15,010 shares held in the Amended and Restated MBIA Inc. Deferred Compensation and Excess Benefit Plan.
- F2Shares acquired by spouse prior to designation as Reporting Person includes 429 shares held privately with personal Fidelity 401(k) retirement account.