0001209191-12-024695.txt : 20120427 0001209191-12-024695.hdr.sgml : 20120427 20120427173225 ACCESSION NUMBER: 0001209191-12-024695 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20120425 FILED AS OF DATE: 20120427 DATE AS OF CHANGE: 20120427 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: 12791232 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 X0305 4 2012-04-25 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 2012-04-25 4 M 0 4726 14.2475 A 10726 D Common Stock 2012-04-25 4 S 0 2226 80.3301 D 8500 D Common Stock 2012-04-25 5 G 0 E 2500 0.00 D 6000 D Common Stock 2012-04-25 5 G 0 E 2500 0.00 A 29702 I By spouse's trust Common Stock 2520 I By spouse as UTMA custodian for son Common Stock 2520 I By spouse at UTMA custodian for daughter Employee Stock Options (Right to Buy) 14.2475 2012-04-25 4 M 0 4726 0.00 D 2005-10-07 2012-10-07 Common Stock 4726 0 D 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 2012-04-27