0001606498-19-000051.txt : 20190605 0001606498-19-000051.hdr.sgml : 20190605 20190605085340 ACCESSION NUMBER: 0001606498-19-000051 CONFORMED SUBMISSION TYPE: 3/A PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20180502 FILED AS OF DATE: 20190605 DATE AS OF CHANGE: 20190605 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sarker Arjun Ranjan CENTRAL INDEX KEY: 0001736325 FILING VALUES: FORM TYPE: 3/A SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 19878624 MAIL ADDRESS: STREET 1: HALYARD HEALTH, INC. STREET 2: 5405 WINDWARD PARKWAY CITY: ALPHARETTA STATE: GA 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 3/A 1 wf-form3a_155973920051822.xml FORM 3/A X0206 3/A 2018-05-02 2018-05-02 0 0001606498 Avanos Medical, Inc. AVNS 0001736325 Sarker Arjun Ranjan 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 0 1 0 0 Senior VP, International Common Stock 4510 D Employee Stock Option (right to buy) 36.74 2018-05-03 2027-05-03 Common Stock 2104.0 D This Form 3/A is being filed to correct the original Form 3 filed on May 2, 2018. The reporting person beneficially owned 4,510 shares at the time the original Form 3 was filed, consisting of (a) 4,000 restricted share units granted on February 2, 2017, with half vesting on the first anniversary of the grant and the balance vesting on the second anniversary, and (b) 510 time-based restricted share units granted on May 3, 2017, vesting on May 3, 2020. The awards were granted on May 3, 2017 and vested, or will 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, as attorney-in-fact for Arjun R. Sarker 2019-06-05