0001209191-17-005977.txt : 20170127 0001209191-17-005977.hdr.sgml : 20170127 20170127175230 ACCESSION NUMBER: 0001209191-17-005977 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170125 FILED AS OF DATE: 20170127 DATE AS OF CHANGE: 20170127 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: 17554942 MAIL ADDRESS: STREET 1: 2100 HIGHWAY 55 CITY: MEDINA STATE: MN ZIP: 55340 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-01-25 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 33751 I by spouse's trust Common Stock 2109 I by wife as UTMA custodian for son Common Stock 2147 I by wife as UTMA custodian for daughter Common Stock 5000 D Common Stock 4705 I by ESOP Employee Stock Options (Right to Buy) 89.39 2017-01-25 4 A 0 32218 0.00 A 2027-01-25 Common Stock 32218 32218 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 January 25, 2017. This plan uses unit accounting and the number of shares that a participant is deemed to hold varies with the price of Polaris stock. The option vests in two equal installments on January 25, 2019 and January 25, 2021. Jennifer Carbert, Attorney-in-Fact 2017-01-27