Anthony Clarke - 28 Apr 2022 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role: CSO
Signature: Sandra Thomson as attorney-in-fact for Anthony Clarke
Issuer symbol: ACHV
Transactions as of: 28 Apr 2022
Net transactions value: -$1,858
Form type: 4
Filing time: 29 Apr 2022, 16:51:53 UTC
Previous filing: 10 Jan 2022
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ACHV	Common Stock	Options Exercise	$0	+1,000	+36%	$0.000000	3,752	28 Apr 2022	Direct	F1
transaction	ACHV	Common Stock	Tax liability	$1,858	-250	-6.7%	$7.43	3,502	28 Apr 2022	Direct	F2
holding	ACHV	Common Stock						1,796	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	-1,000	-50%	$0.000000	1,000	28 Apr 2022	Common Stock	1,000		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.