SEC Form 4 · accession 0001209191-19-006573
Polaris Inc. · PII
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Robert Paul Mack
Officer — SVP-Corp Dev & Pres-Adj Market
Period of report
Jan 30, 2019
Accepted (ET)
Feb 1, 2019 · 6:01 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 Stock | holding | — | — | — | 21,991 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Deferred Stock UnitsF1,F2 | — | Jan 30, 2019 | M | 453 | A | — | — | Common Stock | 453 | 453 | D |
| Employee Stock Option (right to buy)F3 | $84.58 | Jan 30, 2019 | A | 24,935 | A | — | Jan 30, 2029 | Common Stock | 24,935 | 24,935 | D |
Explanation of responses
- F1Each 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.
- F2At 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.
- F3The option vests in three equal installments on January 30, 2020, January 30, 2021, and January 30, 2022.