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