0001606498-21-000003.txt : 20210106 0001606498-21-000003.hdr.sgml : 20210106 20210106102123 ACCESSION NUMBER: 0001606498-21-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210104 FILED AS OF DATE: 20210106 DATE AS OF CHANGE: 20210106 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAWKINS WILLIAM A CENTRAL INDEX KEY: 0001106508 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 21509329 MAIL ADDRESS: STREET 1: MEDTRONIC INC STREET 2: 710 MEDTRONIC PKWY, MS LC310 CITY: MINNEAPOLIS STATE: MN ZIP: 55432-5604 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Avanos Medical, Inc. CENTRAL INDEX KEY: 0001606498 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 464987888 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 5405 WINDWARD PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30004 BUSINESS PHONE: 678-425-9273 MAIL ADDRESS: STREET 1: 5405 WINDWARD PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30004 FORMER COMPANY: FORMER CONFORMED NAME: Halyard Health, Inc. DATE OF NAME CHANGE: 20140424 4 1 wf-form4_160994647007367.xml FORM 4 X0306 4 2021-01-04 0 0001606498 Avanos Medical, Inc. AVNS 0001106508 HAWKINS WILLIAM A 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 1 0 0 0 Common Stock 2021-01-04 4 A 0 4005 0 A 31197 D Represents restricted share units issued to the reporting person on January 4, 2021 pursuant to the Avanos Medical, Inc. Outside Directors' Compensation Plan. /s/ S. Ross Mansbach, as attorney-in-fact for William A. Hawkins, III 2021-01-06