0001628280-21-025462.txt : 20211221
0001628280-21-025462.hdr.sgml : 20211221
20211221125318
ACCESSION NUMBER: 0001628280-21-025462
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211217
FILED AS OF DATE: 20211221
DATE AS OF CHANGE: 20211221
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: 211508209
MAIL ADDRESS:
STREET 1: AVANOS MEDICAL, INC., 5405 WINDWARD PKWY
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_164010918097951.xml
FORM 4
X0306
4
2021-12-17
0
0001606498
Avanos Medical, Inc.
AVNS
0001775747
Ball David Edward
5405 WINDWARD PKWY
ALPHARETTA
GA
30004
0
1
0
0
SVP - Global Supply Chain
Common Stock
2021-12-17
4
F
0
1411
31.22
D
11600
D
(1) Reflects shares surrendered to the Issuer to satisfy tax withholding obligations upon the vesting of restricted share units awarded to the Reporting Person on 12/17/2018 with a 3-year cliff vesting period.
/s/ Ross Mansbach, as attorney-in-fact for David Edward Ball
2021-12-21