0001209191-16-095361.txt : 20160203
0001209191-16-095361.hdr.sgml : 20160203
20160203170254
ACCESSION NUMBER: 0001209191-16-095361
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20160201
FILED AS OF DATE: 20160203
DATE AS OF CHANGE: 20160203
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
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: 161385583
MAIL ADDRESS:
STREET 1: 2100 HIGHWAY 55
CITY: MEDINA
STATE: MN
ZIP: 55340
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2016-02-01
0
0000931015
POLARIS INDUSTRIES INC/MN
PII
0001418237
Dougherty Michael D.
2100 HIGHWAY 55
MEDINA
MN
55340
0
1
0
0
President-International
Common Stock
8704
D
Common Stock
30674
I
by spouse's trust
Common Stock
1804
I
by wife as UTMA custodian for son
Common Stock
1825
I
by wife as UTMA custodian for daughter
Common Stock
4726
I
by ESOP
Performance Restricted Stock Units
2016-02-01
4
M
0
2752
D
2016-03-15
Common Stock
2752
2752
D
Deferred Stock Units
2016-02-01
4
M
0
2752
A
Common Stock
2752
8256
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.
Estimate of the number of shares held in the reporting person's ESOP fund as of February 1, 2016. This plan uses unit accounting and the number of shares that a participant is deemed to hold varies with the price of Polaris stock.
Each performance restricted stock unit represents the right to receive, upon vesting, one share of the Issuer's common stock or, if a deferral election is made, one deferred stock unit under the Issuer's Supplemental/Retirement Savings Plan ("SERP").
Each deferred stock unit represents the right to receive one share of the Issuer's common stock, and is received in exchange for one performance restricted stock unit as described in note 5.
At the settlement date elected by the reporting person under the SERP, the reporting person is entitled to receive one share of common stock for each deferred stock unit held. The deferred stock units may be transferred into an alternative investment account in the SERP after a period of six months and one day.
Jennifer Carbert, Attorney-in-Fact
2016-02-03