0001606498-19-000045.txt : 20190510 0001606498-19-000045.hdr.sgml : 20190510 20190510100005 ACCESSION NUMBER: 0001606498-19-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190508 FILED AS OF DATE: 20190510 DATE AS OF CHANGE: 20190510 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ball David Edward CENTRAL INDEX KEY: 0001775747 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 19813194 MAIL ADDRESS: STREET 1: AVANOS MEDICAL, INC., 5405 WINDWARD PKWY CITY: ALPHARETTA STATE: 2Q ZIP: 30004 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Avanos Medical, 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 FORMER COMPANY: FORMER CONFORMED NAME: Halyard Health, Inc. DATE OF NAME CHANGE: 20140424 4 1 wf-form4_155749679054866.xml FORM 4 X0306 4 2019-05-08 0 0001606498 Avanos Medical, Inc. AVNS 0001775747 Ball David Edward 5405 WINDWARD PKWY ALPHARETTA GA 30004 0 1 0 0 SVP - Global Supply Chain Employee Stock Options (right to buy) 43.59 2019-05-08 4 A 0 7759 43.59 A 2020-05-08 2029-05-08 Common Stock 7759.0 7759 D Represents stock options issued pursuant to the Avanos Medical, Inc. Equity Participation Plan. The award will vest 30% on May 8, 2020, 30% on May 8, 2021, and 40% on May 8, 2022, subject to earlier vesting in the event of death, disability or certain other events. /s/ Ross Mansbach, as attorney-in-fact for David Edward Ball 2019-05-10