0001209191-21-006141.txt : 20210129
0001209191-21-006141.hdr.sgml : 20210129
20210129170952
ACCESSION NUMBER: 0001209191-21-006141
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: Speetzen Michael T
CENTRAL INDEX KEY: 0001531484
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11411
FILM NUMBER: 21572203
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 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
0001531484
Speetzen Michael T
2100 HIGHWAY 55
MEDINA
MN
55340
0
1
0
0
Interim CEO
Common Stock
2021-01-27
4
A
0
4048
0.00
A
23971
D
Common Stock
2021-01-27
4
A
0
25561
0.00
A
49532
D
Common Stock
2021-01-27
4
A
0
3190
A
52722
D
Common Stock
2021-01-27
4
F
0
1595
117.37
D
51127
D
Common Stock
510
I
as UTMA custodian for daughter
Common Stock
510
I
by daughter
Common Stock
510
I
by daughter
Common Stock
510
I
by daughter
Employee Stock Options (right to buy)
117.37
2021-01-27
4
A
0
26604
0.00
A
2031-01-27
Common Stock
26604
26604
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.
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 27, 2022, January 27, 2023, and January 27, 2024.
Jennifer Carbert, Attorney-in-Fact
2021-01-29