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