0001209191-12-010918.txt : 20120216 0001209191-12-010918.hdr.sgml : 20120216 20120216193630 ACCESSION NUMBER: 0001209191-12-010918 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120214 FILED AS OF DATE: 20120216 DATE AS OF CHANGE: 20120216 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Dougherty Michael D. CENTRAL INDEX KEY: 0001418237 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 12620717 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 1 doc4.xml FORM 4 SUBMISSION X0304 4 2012-02-14 0 0000931015 POLARIS INDUSTRIES INC/MN PII 0001418237 Dougherty Michael D. 2100 HIGHWAY 55 MEDINA MN 55340 0 1 0 0 VP-Asia Pac & Latin America Common Stock 30702 D Common Stock 4790 I By ESOP Common Stock 2520 I By spouse as UTMA custodian for son Common Stock 2520 I By spouse at UTMA custodian for daughter Performance Restricted Stock Units 2012-02-14 4 A 0 5504 0.00 A 2015-03-15 Common Stock 5504 5504 D Amount has been adjusted pursuant to a two-for-one stock split effected on September 12, 2011. Each Performance Restricted Stock Unit (PRSU) represents a contingent right to receive one share of the Company's common stock. PRSUs are credited to the officer's account under the Company's 2007 Omnibus Incentive Plan (As Amended and Restated April 28, 2011). Some or all of the PRSUs may be earned to the degree certain financial performance criteria are met over the course of the performance period of January 1, 2012 to December 31, 2014. The officer is entitled to receive one share of common stock for each PRSU earned in early 2015 when financial results are certified for the performance period. Jennifer Carbert, Attorney-in-Fact 2012-02-16