0001209191-21-006855.txt : 20210202 0001209191-21-006855.hdr.sgml : 20210202 20210202172816 ACCESSION NUMBER: 0001209191-21-006855 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210131 FILED AS OF DATE: 20210202 DATE AS OF CHANGE: 20210202 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: 21582847 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 2021-01-31 0 0000931015 Polaris Inc. PII 0001531484 Speetzen Michael T 2100 HIGHWAY 55 MEDINA MN 55340 0 1 0 0 Interim CEO Common Stock 2021-01-31 4 D 0 3319 D 47808 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 Deferred Stock Units 2021-01-31 4 A 0 3319 A Common Stock 3319 3319 D Upon the vesting of restricted stock units granted to the reporting person on January 31, 2018, the reporting person deferred the receipt of 3,319 shares of common stock and received instead 3,319 deferred stock units. Each deferred stock unit represents the right to receive one share of the Issuer's common stock. 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. Each deferred stock unit represents a right to receive one share of the Issuer's common stock, and is received in exchange for one restricted stock unit upon the vesting of such restricted stock unit. At the settlement date elected by the reporting officer under the Issuer's Supplemental/Retirement Savings Plan ("SERP"), the reporting officer is entitled to receive one share of common stock for each deferred stock unit held. The deferred stock units may be transferred into an alternative investment account in the SERP after a period of six months and one day. Jennifer Carbert, Attorney-in-Fact 2021-02-02