Jaime Xinos - 28 Jan 2025 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role: Chief Commercial Officer
Signature: Sandra Thomson as attorney-in-fact for Jaime Xinos
Issuer symbol: ACHV
Transactions as of: 28 Jan 2025
Net transactions value: $0
Form type: 4
Filing time: 30 Jan 2026, 16:08:02 UTC
Previous filing: 14 Jan 2025
Next filing: 08 Sep 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Xinos Jaime	Chief Commercial Officer	22722 29TH DR SE, SUITE 100, BOTHELL	Sandra Thomson as attorney-in-fact for Jaime Xinos	30 Jan 2025	0002041627

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	+180,000		$0.000000	180,000	28 Jan 2026	Common Stock	180,000	$4.36	Direct	F1

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

Explanation of Responses:

Id	Content
F1	The option will vest as to 1/4 of the total award on the first anniversary of January 28, 2026, 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.