SEC Info  
    Home      Search      My Interests      Help      Sign In      Please Sign In

Negro Renato – ‘4’ for 5/5/15 re: Avanos Medical, Inc.

On:  Thursday, 5/7/15, at 5:44pm ET   ·   For:  5/5/15   ·   Accession #:  1209191-15-40122   ·   File #:  1-36440

Previous ‘4’:  None   ·   Next:  ‘4’ on 5/8/15 for 10/31/14   ·   Latest:  ‘4’ on 3/12/24 for 3/8/24

Find Words in Filings emoji
 
  in    Show  and   Hints

  As Of               Filer                 Filing    For·On·As Docs:Size             Issuer                      Filing Agent

 5/07/15  Negro Renato                      4                      2:28K  Halyard Health, Inc.              DONNELLEY FIN… File16/FA

Statement of Changes in Beneficial Ownership of Securities by an Insider   —   Form 4   —   SEA’34
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 4           Form 4 Submission -- doc4.xml/3.6                   HTML      3K 
 2: EX-24.4_580586  POA Document                                       1      6K 


‘4’   —   Form 4 Submission — doc4.xml/3.6




        

This ‘4’ Document is an XML Data File that may be rendered in various formats:

  Form 4    –   Plain Text   –  SEC Website  –  EDGAR System  –    XML Data    –  <?xml?> File
 

 
SEC Info rendering:  Form 4 Submission
 
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
  
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Negro Renato

(Last)(First)(Middle)
5405 WINDWARD PARKWAY

(Street)
ALPHARETTAGA30004

(City)(State)(Zip)
2. Issuer Name and Ticker or Trading Symbol
Halyard Health, Inc. [ HYH ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
XOfficer (give title below) Other (specify below)
Vice President and Controller
3. Date of Earliest Transaction (Month/Day/Year)
5/5/15
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock, $0.01 par value 5/5/15A 686 (1)A$0.00686D
Common Stock, $0.01 par value 5/5/15A 1,450 (2)A$0.002,136D
Common Stock, $0.01 par value 5/5/15F 484 (3)D$45.531,652D
Common Stock, $0.01 par value 5/5/15A 824 (4)A$0.002,476D
Common Stock, $0.01 par value 5/5/15F 118 (5)D$45.532,358D
Common Stock, $0.01 par value 5/5/15A 1,288 (6)A$0.003,646D
Common Stock, $0.01 par value 5/5/15F 129 (7)D$45.533,517D
Common Stock, $0.01 par value 5/5/15A 1,095 (2)A$0.004,612D
Common Stock, $0.01 par value 5/5/15F 365 (8)D$45.534,247D
Common Stock, $0.01 par value 5/5/15A 887 (9)A$0.005,134D
Common Stock, $0.01 par value 5/5/15A 1,816 (10)A$0.006,950D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
Employee Stock Options (right to buy)$45.53 5/5/15A 2,504 (11) 5/5/25Common Stock2,504$0.002,504D
Employee Stock Options (right to buy)$45.53 5/5/15A 3,207 5/5/15 5/5/25Common Stock3,207$0.000D
Employee Stock Options (right to buy)$45.53 5/5/15A 2,944 (12) 5/5/25Common Stock2,944$0.001,678D
Employee Stock Options (right to buy)$45.53 5/5/15A 5,928 (13) 5/5/25Common Stock5,928$0.004,150D
Employee Stock Options (right to buy)$45.53 5/5/15A 3,567 (14) 5/5/25Common Stock3,567 (14)$0.003,567D
Explanation of Responses:
(1)  Represents time-vested restricted stock issued pursuant to the Halyard Health Equity Participation Plan which will vest on May 5, 2018, subject to earlier vesting in the event of death, disability or certain other events.
(2)  Represents time-vested restricted stock units issued pursuant to the Halyard Health, Inc. Equity Participation Plan which vest immediately.
(3)  This transaction represents the withholding of 484 shares of common stock to satisfy the tax withholding obligations incurred by the Reporting Person upon the vesting of 1,450 shares of common stock awarded to the Reporting Person on May 5, 2015.
(4)  Represents time-vested restricted stock issued pursuant to the Halyard Health Equity Participation Plan of which 354 shares vest immediately and 470 will vest on May 1, 2016, subject to earlier vesting in the event of death, disability or certain other events.
(5)  This transaction represents the withholding of 118 shares of common stock to satisfy the tax withholding obligations incurred by the Reporting Person upon the vesting of 354 shares of common stock awarded to the Reporting Person on May 5, 2015.
(6)  Represents time-vested restricted stock issued pursuant to the Halyard Health Equity Participation Plan of which 386 of the awards vest immediately upon issuance, 386 of the awards will vest on May 1, 2016 and 516 of the awards will vest on May 1, 2017, subject to earlier vesting in the event of death, disability or certain other events.
(7)  This transaction represents the withholding of 129 shares of common stock to satisfy the tax withholding obligations incurred by the Reporting Person upon the vesting of 386 shares of common stock awarded to the Reporting Person on May 5, 2015.
(8)  This transaction represents the withholding of 365 shares of common stock to satisfy the tax withholding obligations incurred by the Reporting Person upon the vesting of 1,095 shares of common stock awarded to the Reporting Person on May 5, 2015.
(9)  Represents time-vested restricted stock units issued pursuant to the Halyard Health, Inc. Equity Participation Plan which will vest on May 1, 2016, subject to earlier vesting in the event of death, disability or certain other events.
(10)  Represents time-vested restricted stock units issued pursuant to the Halyard Health, Inc. Equity Participation Plan which will vest on May 1, 2017, subject to earlier vesting in the event of death, disability or certain other events.
(11)  The awards vest 30% on May 5, 2016, 30% on May 5, 2017, and 40% on May 5, 2018, subject to earlier vesting in the event of death, disability or certain other events.
(12)  1,266 of the awards vest immediately upon issuance and 1,679 will vest on May 1, 2016, subject to earlier vesting in the event of death, disability or certain other events.
(13)  1,778 of the awards vest immediately upon issuance, 1,778 of the awards will vest on May 1, 2016, and 2,372 of the awards will vest on May 1, 2017, subject to earlier vesting in the event of death, disability or certain other events.
(14)  Awards will vest 33 1/3% on May 5, 2018, 33 1/3% on May 5, 2019, and 33 1/3% on May 5, 2020, subject to earlier vesting in the event of death, disability or certain other events.
Remarks:
/s/ S. Ross Mansbach, Attorney-in-Fact for Renato Negro 5/7/15
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
____________
Transaction Codes:
    A    Grant, award or other acquisition pursuant to Rule 16b-3(d).
    F    Payment of exercise price or tax liability by delivering or withholding securities incident to the receipt, exercise or vesting of a security issued in accordance with Rule 16b-3.

Top
Filing Submission 0001209191-15-040122   –   Alternative Formats (Word / Rich Text, HTML, Plain Text, et al.)

Copyright © 2024 Fran Finnegan & Company LLC – All Rights Reserved.
AboutPrivacyRedactionsHelp — Mon., Apr. 29, 1:43:14.1am ET