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