0001209191-19-006568.txt : 20190201
0001209191-19-006568.hdr.sgml : 20190201
20190201175952
ACCESSION NUMBER: 0001209191-19-006568
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20190130
FILED AS OF DATE: 20190201
DATE AS OF CHANGE: 20190201
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: 19561067
MAIL ADDRESS:
STREET 1: 2100 HIGHWAY 55
CITY: MEDINA
STATE: MN
ZIP: 55340
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
2019-01-30
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
2019-01-30
4
A
0
491
A
4629
D
Common Stock
2019-01-30
4
F
0
268
84.58
D
4361
D
Common Stock
2713
I
by wife as UTMA custodian for son
Common Stock
2741
I
by wife as UTMA custodian for daughter
Common Stock
32236
I
by spouse's trust
Common Stock
4733
I
by ESOP
Employee Stock Options (right to buy)
84.58
2019-01-30
4
A
0
13124
0.00
A
2029-01-30
Common Stock
13124
13124
D
Shares acquired in settlement of an equal number of performance restricted stock units upon vesting of the units.
Each performance restricted stock unit represents the right to receive one share of the Issuer's common stock upon the vesting of the units.
Shares withheld to satisfy reporting person's tax withholding obligation upon the vesting and settlement of a performance restricted stock award.
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.
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.
Estimate of the number of shares held in the reporting person's ESOP fund as of January 30, 2019. 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 three equal installments on January 30, 2020, January 30, 2021, and January 30, 2022.
Jennifer Carbert, Attorney-in-Fact
2019-02-01