0001209191-16-116633.txt : 20160502 0001209191-16-116633.hdr.sgml : 20160502 20160502125439 ACCESSION NUMBER: 0001209191-16-116633 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160428 FILED AS OF DATE: 20160502 DATE AS OF CHANGE: 20160502 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: CLAYTON ANNETTE K CENTRAL INDEX KEY: 0001231452 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 161610835 MAIL ADDRESS: STREET 1: 11384 BAYBERRY DRIVE CITY: ROMEO STATE: MI ZIP: 48065 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2016-04-28 0 0000931015 POLARIS INDUSTRIES INC/MN PII 0001231452 CLAYTON ANNETTE K 2100 HIGHWAY 55 MEDINA MN 55340 1 0 0 0 Deferred Stock Unit 2016-04-28 4 A 0 1319 98.57 A Common Stock 1319 21898.75 D The deferred stock units were granted under the Polaris Industries Inc. 2007 Omnibus Incentive Plan. The plan has been approved by a vote of shareholders. Upon termination of his/her services, a Director is entitled to receive one share of common stock for each deferred stock unit held. 1 for 1 conversion Includes 388.97 deferred stock units acquired pursuant to dividend equivalent rights under the Plan. Jennifer Carbert, Attorney-in-Fact 2016-05-02