0001606036-17-000013.txt : 20170119 0001606036-17-000013.hdr.sgml : 20170119 20170119154305 ACCESSION NUMBER: 0001606036-17-000013 CONFORMED SUBMISSION TYPE: 4/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20160501 FILED AS OF DATE: 20170119 DATE AS OF CHANGE: 20170119 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: Negro Renato CENTRAL INDEX KEY: 0001624125 FILING VALUES: FORM TYPE: 4/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 17535904 MAIL ADDRESS: STREET 1: 351 PHELPS DRIVE CITY: IRVING STATE: TX ZIP: 75038 4/A 1 primary_doc.xml PRIMARY DOCUMENT X0306 4/A 2016-05-01 2016-05-03 0 0001606498 Halyard Health, Inc. HYH 0001624125 Negro Renato 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 0 1 0 0 Vice President - Controller Common Stock 2016-05-01 4 F 0 637 28.16 D 6320 D Due to a calculation error, the original Form 4 filed on May 3, 2016 incorrectly reported the number of securities withheld. The value reflects the actual amount of securities withheld in the transaction. The original Form 4 filed on May 3, 2016 is amended by this Form 4 amendment to reflect the correct number of shares beneficially owned by the Reporting Person after the transaction. S. Ross Mansbach, Attorney-in-Fact for Renato Negro 2017-01-19