0001209191-12-013035.txt : 20120224 0001209191-12-013035.hdr.sgml : 20120224 20120224183440 ACCESSION NUMBER: 0001209191-12-013035 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120222 FILED AS OF DATE: 20120224 DATE AS OF CHANGE: 20120224 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: 12639632 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 2012-02-22 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 2012-02-22 5 G 0 E 24702 0.00 D 6000 D Common Stock 2012-02-22 5 G 0 E 24702 0.00 A 24702 I By spouse's trust 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 Shares held in a revocable trust of which the reporting person and his spouse are trustees, and the reporting person and his spouse, or other members of their family, are the beneficiaries. Jennifer Carbert, Attorney-in-Fact 2012-02-24