Thomas Sellig - 06 Jun 2025 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role
Director
Signature
Sandra Thomson as attorney-in-fact for Thomas Sellig
Issuer symbol
ACHV
Transactions as of
06 Jun 2025
Net transactions value
$0
Form type
4
Filing time
10 Jun 2025, 16:55:20 UTC
Previous filing
24 Jan 2024
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Sellig Thomas Director 22722 29TH DR SE, SUITE 100, BOTHELL Sandra Thomson as attorney-in-fact for Thomas Sellig 10 Jun 2025 0001969416

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 Stock Option (right to buy) Award $0 +31,500 $0.000000 31,500 06 Jun 2025 Common Stock 31,500 $3.83 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The options vest 100% on the earlier of June 6, 2026 or the date immediately prior to the Issuer's 2026 annual meeting of stockholders.