Avanos Medical (AVNS) Form 4/A Halyard Health / Warren J Machan ownership change

SEC Form 4

FORM 4

UNITED 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

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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^*

Machan Warren J

(Last) (First) (Middle)

5405 WINDWARD PARKWAY

(Street)

ALPHARETTA GA 30004

(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
X	Officer (give title below)	Other (specify below)
SVP, Business Strategy

3. Date of Earliest Transaction (Month/Day/Year)
11/07/2014

4. If Amendment, Date of Original Filed (Month/Day/Year)
11/12/2014

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form 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)
			Code	V	Amount	(A) or (D)	Price
Common Stock	11/07/2014		A		1,584(1)	A	$0	1,683(2)(3)	D
Common Stock	11/07/2014		A		1,040(1)	A	$0	2,723(2)(3)	D
Common Stock	11/07/2014		A		1,532(1)	A	$0	4,255(2)(3)	D
Common Stock	11/07/2014		A		1,915(1)	A	$0	6,170(2)(3)	D

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)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Represents time-vested restricted stock units issued pursuant to the Halyard Health,Inc. Equity Participation Plan.

2. Includes 99 shares of common stock received by the reporting person from Kimberly-Clark Corporation in connection with the distribution of all of the outstanding shares of common stock of the Issuer by Kimberly-Clark Corporation on October 31, 2014.

3. The original Form 4 filed on November 12, 2014 is amended by this Form 4 amendment to correctly reflect the number of shares beneficially owned by the Reporting Person after each transaction. Specifically, footnote 2 of the original Form 4 is being amended to reflect the correct number of common stock that was received by the reporting person from Kimberly-Clark Corporation in connection with the distribution of all of the outstanding shares of common stock of the Issuer by Kimberly Clark Corporation. No other changes have been made to the original Form 4.

Remarks:

	/s/ S. Ross Mansbach, as attorney-in-fact for Warren J. Machan	11/23/2016
	** Signature of Reporting Person	Date
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.
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