John Bencich - Aug 17, 2021 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role
CEO, Director
Signature
Sandra Thomson as attorney-in-fact for John Bencich
Stock symbol
ACHV
Transactions as of
Aug 17, 2021
Transactions value $
-$143
Form type
4
Date filed
8/19/2021, 05:11 PM
Previous filing
May 27, 2021
Next filing
Jan 5, 2022

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ACHV Common Stock Options Exercise $0 +68 +1.11% $0.00 6.21K Aug 17, 2021 Direct F1
transaction ACHV Common Stock Tax liability -$143 -21 -0.34% $6.81 6.19K Aug 17, 2021 Direct F2

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 Restricted Stock Unit (RSU) Options Exercise $0 -68 -100% $0.00* 0 Aug 17, 2021 Common Stock 68 Direct F3, F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents shares of common stock acquired upon settlement of the restricted stock units ("RSUs") listed in Table II.
F2 Represents shares of common stock that have been withheld by the issuer to satisfy the tax liability in connection with the settlement of RSUs.
F3 Each RSU represents a contingent right to receive one share of the issuer's common stock at settlement.
F4 Pursuant to the terms of the RSU, 25% of the total shares underlying the RSU vest annually on the later of (i) each anniversary of August 1, 2017 and (ii) the first day thereafter during which the issuer's trading window is open.