SEC Form 4 · accession 0001209191-17-006734
Polaris Inc. · PII
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Stephen L. Eastman
Officer — President - PG&A
Period of report
Jan 30, 2017
Accepted (ET)
Feb 1, 2017 · 4:39 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0000931015
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1,F2 | Jan 30, 2017 | M | 118 | — | A | 11,401 | D | |
| Common StockF3 | Jan 30, 2017 | F | 55 | $83.55 | D | 11,346 | D | |
| Common Stock | holding | — | — | — | 138 | I | by 401(k) plan |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Performance Restricted Stock UnitsF4 | — | Jan 30, 2017 | M | 236 | D | — | Mar 15, 2017 | Common Stock | 236 | 0 | D |
| Deferred Stock UnitsF5,F6 | — | Jan 30, 2017 | M | 118 | A | — | — | Common Stock | 118 | 1,382 | D |
Explanation of responses
- F1Shares acquired in settlement of an equal number of performance restricted stock units upon vesting of the units.
- F2Each performance restricted stock unit represented the right to receive one share of the Issuer's common stock upon the vesting of the units.
- F3Shares withheld to satisfy reporting person's tax withholding obligation upon the vesting and settlement of performance restricted stock unit award.
- F4Each performance restricted stock unit represents the right to receive, upon vesting, one share of the Issuer's common stock or, if a deferral election is made, one deferred stock unit under the Issuer's Supplemental/Retirement Savings Plan ("SERP").
- F5Each 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 share as describe in note 4.
- F6At the settlement date elected by the reporting officer under the 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.