Home/Filings/4/0001209191-23-025380
4//SEC Filing

Bencich John 4

Accession 0001209191-23-025380

CIK 0000949858other

Filed

Apr 23, 8:00 PM ET

Accepted

Apr 24, 4:13 PM ET

Size

9.3 KB

Accession

0001209191-23-025380

Insider Transaction Report

Form 4
Period: 2023-04-21
Bencich John
CFO and PFO
Transactions
  • Exercise/Conversion

    Common Stock

    2023-04-21+25,00061,920 total
  • Tax Payment

    Common Stock

    2023-04-21$6.80/sh7,324$49,80354,596 total
  • Exercise/Conversion

    Performance Restricted Stock Unit (PRSU)

    2023-04-21+25,00025,000 total
    Exp: 2026-01-03Common Stock (25,000 underlying)
Footnotes (4)
  • [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]Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.
  • [F4]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.

Issuer

ACHIEVE LIFE SCIENCES, INC.

CIK 0000949858

Entity typeother

Related Parties

1
  • filerCIK 0001477056

Filing Metadata

Form type
4
Filed
Apr 23, 8:00 PM ET
Accepted
Apr 24, 4:13 PM ET
Size
9.3 KB