|4Apr 29, 4:51 PM ET

Clarke Anthony 4

4 · ACHIEVE LIFE SCIENCES, INC. · Filed Apr 29, 2022

Insider Transaction Report

Form 4
Period: 2022-04-28
Clarke Anthony
DirectorPresident & CSO
Transactions
  • Exercise/Conversion

    Common Stock

    2022-04-28+1,0003,752 total
  • Tax Payment

    Common Stock

    2022-04-28$7.43/sh250$1,8583,502 total
  • Exercise/Conversion

    Performance Restricted Stock Unit (PRSU)

    2022-04-281,0001,000 total
    Exp: 2025-01-26Common 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