John Bencich - Jan 22, 2024 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
Jan 22, 2024
Transactions value $
$0
Form type
4
Date filed
1/24/2024, 06:54 PM
Previous filing
Jun 1, 2023
Next filing
Mar 6, 2024

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) Award $0 +175K $0.00 175K Jan 22, 2024 Common Stock 175K Direct F1, F2
transaction ACHV Stock Option (right to buy) Award $0 +75K $0.00 75K Jan 22, 2024 Common Stock 75K $4.55 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.
F2 Pursuant to the terms of the award agreement governing the PRSU, the total number of shares underlying the PRSU vest on the achievement of one of certain milestones being met. The PRSUs will lapse in full if achievement of at least one of the milestones is not met.
F3 The options vest one-third on the first anniversary of January 22, 2024 and thereafter in monthly installments over 24 months.