0001606498-17-000044.txt : 20170627 0001606498-17-000044.hdr.sgml : 20170627 20170627170256 ACCESSION NUMBER: 0001606498-17-000044 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170626 FILED AS OF DATE: 20170627 DATE AS OF CHANGE: 20170627 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: Woody Joseph Fralin CENTRAL INDEX KEY: 0001709989 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 17933011 MAIL ADDRESS: STREET 1: 5405 WINDWARD PARKWAY STREET 2: SUITE 100 SOUTH CITY: ALPHARETTA STATE: GA ZIP: 30004 4 1 wf-form4_149859736177614.xml FORM 4 X0306 4 2017-06-26 0 0001606498 Halyard Health, Inc. HYH 0001709989 Woody Joseph Fralin 5405 WINDWARD PARKWAY SUITE 100 S ALPHARETTA GA 30004 1 1 0 0 Chief Executive Officer Common Stock 2017-06-26 4 A 0 25044 0 A 25044 D Employee Stock Option (right to buy) 39.93 2017-06-26 4 A 0 149053 0 A 2027-06-26 Common Stock 149053.0 149053 D Represents time-vested restricted stock units that vest 33.3% on June 26, 2018, 33.3% on June 26, 2019 and 33.4% on June 26, 2020, subject to earlier vesting in the event of death, disability or certain other events. The awards vest 30% on June 26, 2018, 30% on June 26, 2019, and 40% on June 26, 2020, subject to earlier vesting in the event of death, disability or certain other events. /s/ Ross Mansbach , as attorney-in-fact for Joseph F. Woody 2017-06-27