Statement of Changes in Beneficial Ownership (4)
January 31 2020 - 5:49PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Eastman Stephen L. |
2. Issuer Name and Ticker or Trading Symbol
Polaris Inc.
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PII
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) President - PG&A |
(Last)
(First)
(Middle)
2100 HIGHWAY 55 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
1/29/2020 |
(Street)
MEDINA, MN 55340
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security (Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code (Instr. 8)
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4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock | 1/29/2020 | | A | | 3174 | A | $94.54 | 16352 | D | |
Common Stock | | | | | | | | 148 (1) | I | by 401(k) plan |
Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security (Instr. 3) | 2. Conversion or Exercise Price of Derivative Security | 3. Trans. Date | 3A. Deemed Execution Date, if any | 4. Trans. Code (Instr. 8) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) | 8. Price of Derivative Security (Instr. 5) | 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) | 10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4) | 11. Nature of Indirect Beneficial Ownership (Instr. 4) |
Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |
Employee Stock Option (right to buy) | $94.54 | 1/29/2020 | | A | | 27323 | | (2) | 1/29/2030 | Common Stock | 27323 | $0.00 | 27323 | D | |
Deferred Stock Units | (3) | 1/29/2020 | | M | | 2189 | | (4) | (4) | Common Stock | 2189 | (3) | 4525 | D | |
Explanation of Responses: |
(1) | Estimate of the number of shares held in the reporting person's 401(k) Polaris Stock fund as of January 29, 2020. This plan uses unit accounting and the numbers of shares that a participant is deemed to hold varies with the price of Polaris stock. |
(2) | The option vests in three equal installments on January 29, 2021, January 29, 2022, and January 29, 2023. |
(3) | Each deferred stock unit represents the right to receive one share of the Issuer's common stock, and is received in exchange for one performance restricted stock unit upon the vesting of such performance restricted stock unit. |
(4) | 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. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Eastman Stephen L. 2100 HIGHWAY 55 MEDINA, MN 55340 |
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| President - PG&A |
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Signatures
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Jennifer Carbert, Attorney-in-Fact | | 1/31/2020 |
**Signature of Reporting Person | Date |
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