0001606498-18-000009.txt : 20180103
0001606498-18-000009.hdr.sgml : 20180103
20180103171026
ACCESSION NUMBER: 0001606498-18-000009
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: DOLLENS RONALD W
CENTRAL INDEX KEY: 0001222340
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36440
FILM NUMBER: 18506590
MAIL ADDRESS:
STREET 1: C/O GUIDANT CORP
STREET 2: 111 MONUMENT CIRCLE #2900
CITY: INDIANAPOLIS
STATE: IN
ZIP: 46204-5129
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_151501741246494.xml
FORM 4
X0306
4
2018-01-02
0
0001606498
Halyard Health, Inc.
HYH
0001222340
DOLLENS RONALD W
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, attorney-in-fact for Ronald Dollens
2018-01-03