THOMAS B. KING - 13 Jan 2025 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role
Executive Chairman, Director
Signature
Sandra Thomson as attorney-in-fact for Thomas B. King
Issuer symbol
ACHV
Transactions as of
13 Jan 2025
Net transactions value
$0
Form type
4
Filing time
14 Jan 2025, 16:42:01 UTC
Previous filing
08 Jul 2024
Next filing
10 Jun 2025
SEC
View on sec.gov

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) Award $0 +455,000 $0.000000 455,000 13 Jan 2025 Common Stock 455,000 Direct F1, F2
transaction ACHV Stock Option (right to buy) Award $0 +195,000 $0.000000 195,000 13 Jan 2025 Common Stock 195,000 $3.32 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.
F2 Pursuant to the terms of the award agreement governing the PRSU, the total number of shares underlying the PRSU vest on the achievement of one of certain milestones being met. The PRSUs will lapse in full if achievement of at least one of the milestones is not met.
F3 The option will vest as to 1/4 of the total award on the first anniversary of August 26, 2024, and thereafter in substantially equal monthly installments over 36 months, subject to the Reporting Person's provision of service to the Issuer on each vesting date.