0001606498-18-000012.txt : 20180103 0001606498-18-000012.hdr.sgml : 20180103 20180103171629 ACCESSION NUMBER: 0001606498-18-000012 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180102 FILED AS OF DATE: 20180103 DATE AS OF CHANGE: 20180103 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: 18506710 MAIL ADDRESS: STREET 1: 7700 FRANCE AVENUE SOUTH CITY: EDINA STATE: MN ZIP: 55435 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 4 1 wf-form4_151501777566759.xml FORM 4 X0306 4 2018-01-02 0 0001606498 Halyard Health, Inc. HYH 0001156320 BLACKFORD GARY 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 1 0 0 0 Common Stock 2018-01-02 4 A 0 2946 0 A 14920 D Represents restricted share units issued to the reporting person on January 2, 2018 pursuant to the Halyard Health, Inc. Outside Director's Compensation Plan. /s/ John W. Wesley, as attorney-in-fact for Gary D. Blackford 2018-01-03