Craig Donnelly - 01 Oct 2025 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role: Chief Operations Officer
Signature: /s/ Sandra Thomson as attorney-in-fact for Craig Donnelly
Issuer symbol: ACHV
Transactions as of: 01 Oct 2025
Net transactions value: $0
Form type: 4
Filing time: 03 Oct 2025, 16:37:53 UTC
Previous filing: 19 Sep 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Donnelly Craig	Chief Operations Officer	22722 29TH DR. SE, SUITE 100, BOTHELL	/s/ Sandra Thomson as attorney-in-fact for Craig Donnelly	03 Oct 2025	0002086790

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	+50,000		$0.000000	50,000	01 Oct 2025	Common Stock	50,000	$3.10	Direct	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	This option will vest as to 1/4 of the total award on the first anniversary of September 8, 2025, 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.