0001606498-20-000030.txt : 20200506 0001606498-20-000030.hdr.sgml : 20200506 20200506173958 ACCESSION NUMBER: 0001606498-20-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20200504 FILED AS OF DATE: 20200506 DATE AS OF CHANGE: 20200506 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sarker Arjun Ranjan CENTRAL INDEX KEY: 0001736325 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 20853816 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 4 1 wf-form4_158880118090847.xml FORM 4 X0306 4 2020-05-04 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 2020-05-04 4 F 0 167 31.07 D 4819 D Represents shares withheld for taxes from issuance of shares resulting from the time-based restricted stock units granted on 5/3/2017. The reporting person's beneficially owned shares are comprised of the 4,476 shares reflected on the Form 4 filed on 2/5/2019 and the 510 shares from the Form 3/A filed on 6/5/2019, less the 167 shares disposed of as reflected in this current filing. /s/ S.Ross Mansbach, as attorney-in-fact for Arjun R. Sarker 2020-05-06