0001209191-12-050330.txt : 20121023
0001209191-12-050330.hdr.sgml : 20121023
20121023183926
ACCESSION NUMBER: 0001209191-12-050330
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20121022
FILED AS OF DATE: 20121023
DATE AS OF CHANGE: 20121023
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: 121157248
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
X0306
4
2012-10-22
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
2012-10-22
4
M
0
2324
21.5075
A
8324
D
Common Stock
2012-10-22
5
G
0
E
2324
0.00
D
6000
D
Common Stock
2012-10-22
5
G
0
E
2324
0.00
A
32026
I
By spouse's trust
Common Stock
2012-10-22
4
M
0
6500
29.725
A
12500
D
Common Stock
2012-10-22
4
S
0
6500
86.3717
D
6000
D
Common Stock
2012-10-22
4
M
0
12000
22.33
A
18000
D
Common Stock
2012-10-22
4
S
0
12000
86.3717
D
6000
D
Common Stock
2012-10-22
4
S
0
1250
86.449
D
1270
I
By spouse as UTMA custodian for son
Common Stock
2012-10-22
4
S
0
1250
86.449
D
1270
I
By spouse at UTMA custodian for daughter
Common Stock
4790
I
by ESOP
Employee Stock Options (Right to Buy)
21.5075
2012-10-22
4
M
0
2324
0.00
D
2006-11-03
2013-11-03
Common Stock
2324
2324
D
Employee Stock Options (Right to Buy)
29.725
2012-10-22
4
M
0
6500
0.00
D
2007-11-01
2014-11-01
Common Stock
6500
0
D
Employee Stock Options (Right to Buy)
22.33
2012-10-22
4
M
0
12000
0.00
D
2012-02-01
2020-02-01
Common Stock
12000
12000
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.
Shares held by son who shares reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his son, and this report should not be deemed an admission that the reporting person is the beneficial owner of his son's shares for purposes of Section 16 or for any other purpose.
Shares held by daughter who shares reporting person's household. The reporting person disclaims beneficial ownership of the shares held by his daughter, and this report should not be deemed an admission that the reporting person is the beneficial owner of his daughter's shares for purposes of Section 16 or for any other purpose.
Jennifer Carbert, Attorney-in-Fact
2012-10-23