0001606498-18-000046.txt : 20180504 0001606498-18-000046.hdr.sgml : 20180504 20180504162746 ACCESSION NUMBER: 0001606498-18-000046 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180503 FILED AS OF DATE: 20180504 DATE AS OF CHANGE: 20180504 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: 18808289 MAIL ADDRESS: STREET 1: 5405 WINDWARD PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30004 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_152546565249736.xml FORM 4 X0306 4 2018-05-03 0 0001606498 Halyard Health, Inc. HYH 0001624125 Negro Renato 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 0 1 0 0 Vice President - Controller Common Stock 2018-05-03 4 A 0 624 0 A 10005 D Employee Stock Option (right to buy) 52.1 2018-05-03 4 A 0 2374 0 A 2028-05-03 Common Stock 2374.0 2374 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, 2019, 30% on May 3, 2020, and 40% on May 3, 2021, subject to earlier vesting in the event of death, disability or certain other events. /s/ S. Ross Mansbach, Attorney-in-Fact for Renato Negro 2018-05-04