John Bencich - 19 Apr 2024 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role
CEO, Director
Signature
Sandra Thomson as attorney-in-fact for John Bencich
Issuer symbol
ACHV
Transactions as of
19 Apr 2024
Net transactions value
-$27,457
Form type
4
Filing time
23 Apr 2024, 16:26:56 UTC
Previous filing
06 Mar 2024
Next filing
20 Aug 2024
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ACHV Common Stock Options Exercise $0 +25,000 +33% $0.000000 101,724 19 Apr 2024 Direct F1
transaction ACHV Common Stock Tax liability $27,457 -6,088 -6% $4.51 95,636 19 Apr 2024 Direct F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction ACHV Performance Restricted Stock Unit (PRSU) Options Exercise $0 -25,000 -100% $0.000000* 0 19 Apr 2024 Common Stock 25,000 Direct F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.