0001209191-12-010896.txt : 20120216
0001209191-12-010896.hdr.sgml : 20120216
20120216190159
ACCESSION NUMBER: 0001209191-12-010896
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20120201
FILED AS OF DATE: 20120216
DATE AS OF CHANGE: 20120216
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BALAN TODD M
CENTRAL INDEX KEY: 0001467928
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11411
FILM NUMBER: 12620643
MAIL ADDRESS:
STREET 1: 2100 HIGHWAY 55
CITY: MEDINA
STATE: MN
ZIP: 55340
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/A
1
doc4a.xml
FORM 4/A SUBMISSION
X0304
4/A
2012-02-01
2012-02-03
0
0000931015
POLARIS INDUSTRIES INC/MN
PII
0001467928
BALAN TODD M
2100 HIGHWAY 55
MEDINA
MN
55340
0
1
0
0
V.P. Corporate Development
Employee Stock Options (Right to Buy)
65.57
2012-02-01
4
A
0
10000
0.00
A
2022-02-01
Common Stock
10000
10000
D
This Form 4 was signed pursuant to an executed Power of Attorney, but the executed Power of Attorney was not on file with the Commission at the date of filing. A copy of the executed Power of Attorney is now being filed as Exhibit 24 to this Form 4/A. The reported transaction is not new or revised but is being reported only to gain access to the EDGAR filing system for purposes of filing Exhibit 24.
The option vests in two equal installments on February 1, 2014 and February 1, 2016.
Jennifer Carbert, Attorney-in-Fact
2012-02-16
EX-24.4A_410415
2
poa.txt
POA DOCUMENT
POWER OF ATTORNEY
Know all by these presents that the undersigned hereby constitutes and appoints
each of Stacy L. Bogart, Michael W. Malone, Beth Paulson, Jennifer Carbert and
Peggy James, signing singly, the undersigned's true and lawful attorney-in-fact
to:
(1) execute for and on behalf of the undersigned, in the undersigned's capacity
as an officer and/or director of Polaris Industries Inc., a Minnesota
corporation (the "Company"), Forms 3, 4, and 5 in accordance with Section 16(a)
of the Securities Exchange Act of 1934 and the rules thereunder;
(2) do and perform any and all acts for and on behalf of the undersigned which
may be necessary or desirable to complete and execute any such Form 3, 4, or 5,
complete and execute any amendment or amendments thereto, and timely file such
form with the United States Securities and Exchange Commission and any stock
exchange or similar authority; and
(3) take any other action of any type whatsoever in connection with the
foregoing which, in the opinion of such attorney-in-fact, may be of benefit to,
in the best interest of, or legally required by, the undersigned, it being
understood that the documents executed by such attorney-in-fact on behalf of the
undersigned pursuant to this Power of Attorney shall be in such form and shall
contain such terms and conditions as such attorney-in-fact may approve in such
attorney-in-fact's discretion.
The undersigned hereby grants to each such attorney-in-fact full power and
authority to do and perform any and every act and thing whatsoever requisite,
necessary, or proper to be done in the exercise of any of the rights and powers
herein granted, as fully to all intents and purposes as the undersigned might or
could do if personally present, with full power of substitution or revocation,
hereby ratifying and confirming all that such attorney-in-fact, or such
attorney-in-fact's substitute or substitutes, shall lawfully do or cause to be
done by virtue of this power of attorney and the rights and powers herein
granted. The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934.
This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to be
executed as of this 4th day of August, 2011.
/s/Todd-Michael Balan
Todd-Michael Balan
STATE OF MINNESOTA )
) SS
COUNTY OF HENNEPIN )
On this 4th day of August, 2011, Todd-Michael Balan personally appeared before
me, and acknowledged execution of the foregoing instrument for the purposes
therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
/s/Jennifer Luce-Carbert
Notary Public
My Commission Expires: 1/31/2015