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