-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, H4fDhVULeL7wNHKcY1KWw4qFuAiaTS1bR3bW1wiTverd1FN+bZRPEZYJw1iJmrIF m+ZstHPf3xojzMOKXsG2cQ== 0001209191-04-050627.txt : 20041102 0001209191-04-050627.hdr.sgml : 20041102 20041102141822 ACCESSION NUMBER: 0001209191-04-050627 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20041101 FILED AS OF DATE: 20041102 DATE AS OF CHANGE: 20041102 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: TILLER THOMAS C CENTRAL INDEX KEY: 0001226133 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 041112749 BUSINESS ADDRESS: STREET 1: 2100 HIGHWAY 55 CITY: MEDINA STATE: MN ZIP: 55340 BUSINESS PHONE: 7635420500 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: POLARIS INDUSTRIES INC/MN CENTRAL INDEX KEY: 0000931015 STANDARD INDUSTRIAL CLASSIFICATION: MISCELLANEOUS TRANSPORTATION EQUIPMENT [3790] IRS NUMBER: 411790959 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2100 HIGHWAY 55 CITY: MEDINA STATE: MN ZIP: 55340 BUSINESS PHONE: (763) 542-0500 MAIL ADDRESS: STREET 1: 2100 HIGHWAY 55 STREET 2: NONE CITY: MEDINA STATE: MN ZIP: 55340 4 1 doc4.xml FORM 4 SUBMISSION X0202 4 2004-11-01 0 0000931015 POLARIS INDUSTRIES INC/MN PII 0001226133 TILLER THOMAS C 2100 HIGHWAY 55 MEDINA MN 55340 0 1 0 0 President & CEO Common Stock 2004-11-01 4 A 0 50000 A 170100 D Emp Stock Options (Right to Buy) 59.45 2004-11-01 4 A 0 100000 0.00 A 2007-11-01 2014-11-01 Common Stock 100000 100000 D Restricted stock granted; price is not applicable. Cela A. Sandin, Attorney-in-fact 2004-11-02 -----END PRIVACY-ENHANCED MESSAGE-----