Richard Alistair Stewart - 28 Apr 2022 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Signature
Sandra Thomson as attorney-in-fact for Richard Stewart
Issuer symbol
ACHV
Transactions as of
28 Apr 2022
Net transactions value
-$16,718
Form type
4
Filing time
29 Apr 2022, 16:46:59 UTC
Previous filing
05 Jan 2022
Next filing
27 Jan 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ACHV Common Stock Options Exercise $0 +5,000 +47% $0.000000 15,626 28 Apr 2022 Direct F1
transaction ACHV Common Stock Tax liability $16,718 -2,250 -14% $7.43 13,376 28 Apr 2022 Direct F2
holding ACHV Common Stock 359 28 Apr 2022 By Spouse
holding ACHV Common Stock 882 28 Apr 2022 By Ricanto Limited F3

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 Performance Restricted Stock Unit (PRSU) Options Exercise $0 -5,000 -50% $0.000000 5,000 28 Apr 2022 Common Stock 5,000 Direct F4, F5
* 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 performance restricted stock units ("PRSUs") 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 PRSUs.
F3 The reporting holder is a principal owner of Ricanto Limited.
F4 Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.
F5 Pursuant to the terms of the PRSU 50% of the total shares underlying the PRSU vest on the achievement of a performance-based milestone, and 50% vest on the first anniversary of the achievement of such milestone.