0001209191-21-006133.txt : 20210129
0001209191-21-006133.hdr.sgml : 20210129
20210129170438
ACCESSION NUMBER: 0001209191-21-006133
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210127
FILED AS OF DATE: 20210129
DATE AS OF CHANGE: 20210129
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: 21572150
MAIL ADDRESS:
STREET 1: 2100 HIGHWAY 55
CITY: MEDINA
STATE: MN
ZIP: 55340
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Polaris Inc.
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
FORMER COMPANY:
FORMER CONFORMED NAME: POLARIS INDUSTRIES INC/MN
DATE OF NAME CHANGE: 19941004
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-01-27
0
0000931015
Polaris Inc.
PII
0001418237
Dougherty Michael D.
2100 HIGHWAY 55
MEDINA
MN
55340
0
1
0
0
President-Motorcycles & Int'l
Common Stock
2021-01-27
4
A
0
1811
0.00
A
10968
D
Common Stock
2021-01-27
4
A
0
8521
0.00
A
19489
D
Common Stock
2021-01-27
4
A
0
1276
A
20765
D
Common Stock
2021-01-27
4
F
0
663
117.37
D
20102
D
Common Stock
29837
I
by spouse's trust
Common Stock
3321
I
by son
Common Stock
3349
I
by daughter
Common Stock
4721
I
by ESOP
Employee Stock Options (right to buy)
117.37
2021-01-27
4
A
0
11902
0.00
A
2031-01-27
Common Stock
11902
11902
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 unit award.
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 in a transfer of death account of which the beneficiary is the reporting person's spouse's revocable trust. The reporting
person and his spouse are trustees of the revocable trust, and the reporting person and his spouse, or other members of their family, are the
beneficiaries.
Shares held by daughter in a transfer of death account of which the beneficiary is the reporting person's spouse's revocable trust. The reporting person and his spouse are trustees of the revocable trust, 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 27, 2021. 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 27, 2022, January 27, 2023, and January 27, 2024.
Jennifer Carbert, Attorney-in-Fact
2021-01-29