0001606036-17-000007.txt : 20170105 0001606036-17-000007.hdr.sgml : 20170105 20170105100858 ACCESSION NUMBER: 0001606036-17-000007 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170103 FILED AS OF DATE: 20170105 DATE AS OF CHANGE: 20170105 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Halyard Health, 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BLACKFORD GARY CENTRAL INDEX KEY: 0001156320 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 17509247 MAIL ADDRESS: STREET 1: 7700 FRANCE AVENUE SOUTH CITY: EDINA STATE: MN ZIP: 55435 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-01-03 0 0001606498 Halyard Health, Inc. HYH 0001156320 BLACKFORD GARY 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 1 0 0 0 Common Stock 2017-01-03 4 A 0 3749 0 A 11974 D Represents restricted share units issued to the reporting person on January 3, 2017 pursuant to the Halyard Health, Inc. Outside Director's Compensation Plan. S. Ross Mansbach, attorney-in-fact for Gary D. Blackford 2017-01-05