Jay M. Moyes - 11 May 2021 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role
Director
Signature
Sandra Thomson as attorney-in-fact for Jay Moyes
Issuer symbol
ACHV
Transactions as of
11 May 2021
Net transactions value
$0
Form type
4
Filing time
13 May 2021, 16:27:08 UTC
Next filing
11 Jun 2021
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 Stock Option (right to buy) Award $0 +3,750 $0.000000 3,750 11 May 2021 Common Stock 3,750 $9.90 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 May 11, 2022 or the date immediately prior to the Issuer's next annual meeting of stockholders.