0001606498-17-000036.txt : 20170516
0001606498-17-000036.hdr.sgml : 20170516
20170516135014
ACCESSION NUMBER: 0001606498-17-000036
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170503
FILED AS OF DATE: 20170516
DATE AS OF CHANGE: 20170516
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
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-36440
FILM NUMBER: 17848033
MAIL ADDRESS:
STREET 1: 5405 WINDWARD PARKWAY
CITY: ALPHARETTA
STATE: GA
ZIP: 30004
4
1
wf-form4_149495699992578.xml
FORM 4
X0306
4
2017-05-03
0
0001606498
Halyard Health, Inc.
HYH
0001624125
Negro Renato
5405 WINDWARD PARKWAY
ALPHARETTA
GA
30004
0
1
0
0
Vice President - Controller
Common Stock
2017-05-03
4
A
0
851
0
A
7410
D
Employee Stock Option (right to buy)
36.74
2017-05-03
4
A
0
3507
0
A
2027-05-03
Common Stock
3507.0
3507
D
Represents time-vested restricted stock units issued pursuant to the Halyard Health, Inc. Amended and Restated Equity Participation Plan.
The awards vest 30% on May 3, 2018, 30% on May 3, 2019, and 40% on May 3, 2020, subject to earlier vesting in the event of death, disability or certain other events.
/s/ S. Ross Mansbach, Attorney-in-Fact for Renato Negro
2017-05-16