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4//SEC Filing

Clarke Anthony 4

Accession 0001209191-22-026291

CIK 0000949858other

View on SEC.gov Company Profile

Filed

Apr 28, 8:00 PM ET

Accepted

Apr 29, 4:51 PM ET

Size

10.9 KB

Accession

0001209191-22-026291

Insider Transaction Report

Form 4

Period: 2022-04-28

ACHIEVE LIFE SCIENCES, INC.ACHV

DirectorPresident & CSO

Transactions

Exercise/Conversion
Common Stock
2022-04-28+1,000→ 3,752 total
Tax Payment
Common Stock
2022-04-28$7.43/sh−250$1,858→ 3,502 total
Exercise/Conversion
Performance Restricted Stock Unit (PRSU)
2022-04-28−1,000→ 1,000 total
Exp: 2025-01-26→ Common Stock (1,000 underlying)

Holdings

Common Stock
(indirect: By Spouse)
1,796
Common Stock
(indirect: By Ricanto Limited)
882

Footnotes (5)

[F1]Represents shares of common stock acquired upon settlement of the performance restricted stock units ("PRSUs") listed in Table II.
[F2]Represents shares of common stock that have been withheld by the issuer to satisfy the tax liability in connection with the settlement of PRSUs.
[F3]The reporting holder is a principal owner of Ricanto Limited.
[F4]Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.
[F5]Pursuant to the terms of the PRSU 50% of the total shares underlying the PRSU vest on the achievement of a performance-based milestone, and 50% vest on the first anniversary of the achievement of such milestone.

Documents

1 file

4
doc4.xmlPrimary
FORM 4 SUBMISSION

Issuer

ACHIEVE LIFE SCIENCES, INC.

CIK 0000949858

Entity typeother

Related Parties

1

filerCIK 0001713368

Filing Metadata

Form type: 4
Filed: Apr 28, 8:00 PM ET
Accepted: Apr 29, 4:51 PM ET
Size: 10.9 KB

View on SEC.gov