0001209191-18-063856.txt : 20181221 0001209191-18-063856.hdr.sgml : 20181221 20181221144549 ACCESSION NUMBER: 0001209191-18-063856 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20181219 FILED AS OF DATE: 20181221 DATE AS OF CHANGE: 20181221 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Speetzen Michael T CENTRAL INDEX KEY: 0001531484 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 181249074 MAIL ADDRESS: STREET 1: XYLEM INC. STREET 2: 1133 WESTCHESTER AVENUE, SUITE N200 CITY: WHITE PLAINS STATE: NY ZIP: 10604 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 2018-12-19 0 0000931015 POLARIS INDUSTRIES INC/MN PII 0001531484 Speetzen Michael T 2100 HIGHWAY 55 MEDINA MN 55340 0 1 0 0 EVP-Finance & CFO Common Stock 2018-12-19 5 G 0 E 788 0.00 D 7813 D Common Stock 2018-12-19 5 G 0 E 197 0.00 A 197 I as UTMA custodian for daughter Common Stock 2018-12-19 5 G 0 E 197 0.00 A 197 I by daughter Common Stock 2018-12-19 5 G 0 E 197 0.00 A 197 I by daughter Common Stock 2018-12-19 5 G 0 E 197 0.00 A 197 I by daughter 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 2018-12-21