Statement of Changes in Beneficial Ownership (4)
March 16 2021 - 6:33PM
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
*
Dougherty Michael D. |
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-Motorcycles & Int'l |
(Last)
(First)
(Middle)
2100 HIGHWAY 55 |
3. Date of Earliest Transaction
(MM/DD/YYYY)
3/15/2021 |
(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 | 3/15/2021 | | M | | 16109 | A | $89.39 | 35557 | D | |
Common Stock | 3/15/2021 | | S | | 16109 (1) | D | $140.00 (2) | 19448 | D | |
Common Stock | | | | | | | | 29837 | I | by spouse's trust (3) |
Common Stock | | | | | | | | 3321 | I | by son (4) |
Common Stock | | | | | | | | 3349 | I | by daughter (5) |
Common Stock | | | | | | | | 4700 (6) | I | by ESOP |
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 Options (right to buy) | $89.39 | 3/15/2021 | | M | | | 16109 | (7) | 1/25/2027 | Common Stock | 16109 | $0.00 | 16109 | D | |
Explanation of Responses: |
(1) | The sales reported in this Form 4 were effected pursuant to a Rule 10b5-1 trading plan adopted by the reporting person on February 1, 2021. |
(2) | Reflects the weighted average price of 16,109 shares of Common Stock sold by the reporting person in multiple transactions on March 15, 2021 with sale prices ranging from $140.00 to $140.07 per share. The reporting person undertakes to provide upon request by the U.S. Securities and Exchange Commission staff, the issuer, or a security holder of the issuer, full information regarding the number of shares sold at each separate price. |
(3) | 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. |
(4) | 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. |
(5) | 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. |
(6) | Estimate of the number of shares held in the reporting person's ESOP fund as of March 15, 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. |
(7) | The option vests in two equal installments on January 25, 2019 and January 25, 2021. |
Reporting Owners
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Reporting Owner Name / Address | Relationships |
Director | 10% Owner | Officer | Other |
Dougherty Michael D. 2100 HIGHWAY 55 MEDINA, MN 55340 |
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| President-Motorcycles & Int'l |
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Signatures
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Jennifer Carbert, Attorney-in-Fact | | 3/16/2021 |
**Signature of Reporting Person | Date |
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