0001209191-19-006587.txt : 20190201 0001209191-19-006587.hdr.sgml : 20190201 20190201180501 ACCESSION NUMBER: 0001209191-19-006587 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: Speetzen Michael T CENTRAL INDEX KEY: 0001531484 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-11411 FILM NUMBER: 19561103 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 2019-01-30 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 2019-01-30 4 A 0 1270 A 9083 D Common Stock 2019-01-30 4 F 0 661 84.58 D 8422 D Common Stock 197 I as UTMA custodian for daughter Common Stock 197 I by daughter Common Stock 197 I by daughter Common Stock 197 I by daughter Employee Stock Options (right to buy) 84.58 2019-01-30 4 A 0 45932 0.00 A 2029-01-30 Common Stock 45932 45932 D Shares acquired in settlement of an equal number of performance restricted stock units upon vesting of the units. Each performance restricted stock unit represented 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 performance restricted stock unit award. 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. 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