0001628280-24-002606.txt : 20240130
0001628280-24-002606.hdr.sgml : 20240130
20240130183416
ACCESSION NUMBER: 0001628280-24-002606
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20220126
FILED AS OF DATE: 20240130
DATE AS OF CHANGE: 20240130
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Speetzen Michael T
CENTRAL INDEX KEY: 0001531484
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-11411
FILM NUMBER: 24580018
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]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 411790959
STATE OF INCORPORATION: DE
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
wk-form4_1706657646.xml
FORM 4
X0508
4
2022-01-26
0
0000931015
Polaris Inc.
PII
0001531484
Speetzen Michael T
2100 HIGHWAY 55
MEDINA
MN
55340
0
1
0
0
CEO
0
Common Stock
2024-01-27
4
F
0
1088
91.37
D
49639
D
Common Stock
2024-01-27
4
D
0
2024
D
47615
D
Common Stock
2022-01-26
4
D
0
5172
D
42443
D
Common Stock
696
I
by daughter
Common Stock
182
I
as UTMA custodian for granddaughter
Deferred Stock Units
2024-01-27
4
A
0
2024
A
Common Stock
2024
9257
D
Deferred Stock Units
2022-01-26
4
A
0
5172
A
Common Stock
5172
14429
D
Each deferred stock unit represents the right to receive (1) share of the Issuer's common stock, and is received in exchange for (1) restricted stock unit upon the vesting of such restricted stock unit.
Upon the vesting on January 27, 2024 of restricted stock units granted to the reported person on January 27, 2021, the reporting person deferred the receipt of 2,024 shares of common stock and received instead 2,024 shares of deferred stock units pursuant to the Issuer's Supplemental Retirement Savings Plan ("SERP").
This reporting is to clarify that upon the vesting on January 26, 2022 of restricted stock units granted to the reported person on April 26, 2019, the reporting person deferred the receipt of 5,172 shares of common stock and received instead 5,172 shares of deferred stock units pursuant to the Issuer's Supplemental Retirement Savings Plan ("SERP").
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.
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.
Sarah Maveus, Attorney-in-Fact
2024-01-30