Erik Atkisson - 04 Dec 2025 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role
Chief Legal Officer
Signature
/s/ Sandra Thomson as attorney-in-fact for Erik Atkisson
Issuer symbol
ACHV
Transactions as of
04 Dec 2025
Net transactions value
$0
Form type
4
Filing time
08 Dec 2025, 16:01:03 UTC
Previous filing
21 Oct 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Atkisson Erik Chief Legal Officer 22722 29TH DR SE, SUITE 100, BOTHELL /s/ Sandra Thomson as attorney-in-fact for Erik Atkisson 08 Dec 2025 0001885915

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 +250,000 $0.000000 250,000 04 Dec 2025 Common Stock 250,000 $4.78 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 October 20, 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.