0001606498-17-000030.txt : 20170505 0001606498-17-000030.hdr.sgml : 20170505 20170505163138 ACCESSION NUMBER: 0001606498-17-000030 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170503 FILED AS OF DATE: 20170505 DATE AS OF CHANGE: 20170505 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Halyard Health, 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 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gibby Rhonda D CENTRAL INDEX KEY: 0001623956 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36440 FILM NUMBER: 17818821 MAIL ADDRESS: STREET 1: 5405 WINDWARD PARKWAY CITY: ALPHARETTA STATE: GA ZIP: 30004 4 1 wf-form4_149401628336010.xml FORM 4 X0306 4 2017-05-03 0 0001606498 Halyard Health, Inc. HYH 0001623956 Gibby Rhonda D 5405 WINDWARD PARKWAY ALPHARETTA GA 30004 0 1 0 0 SVP, Human Resources Employee Stock Option (right to buy) 36.74 2017-05-03 4 A 0 15713 0 A 2027-05-03 Common Stock 15713.0 15713 D The awards 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 Rhonda D. Gibby 2017-05-05