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

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
29 Apr 2022, 16:51:53 UTC
Prior SEC filing
10 Jan 2022
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
Sandra Thomson as attorney-in-fact for Anthony Clarke

Key filing fact

Anthony Clarke filed Form 4 for ACHIEVE LIFE SCIENCES, INC. (ACHV) on 29 Apr 2022.

Key facts

  • This page summarizes Anthony Clarke's Form 4 filing for ACHIEVE LIFE SCIENCES, INC. (ACHV).
  • 3 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 29 Apr 2022, 16:51.

Change

  • Previous filing in this sequence was filed on 10 Jan 2022.
  • Current net transaction value: -$1,858.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

ACHV transaction

Common Stock

Options Exercise

Transaction value
$0
Shares
+1,000
Change %
+36%
Price
$0.000000
Shares after
3,752
Date
28 Apr 2022
Ownership
Direct
Footnotes
F1
ACHV transaction

Common Stock

Tax liability

Transaction value
$1,858
Shares
-250
Change %
-6.7%
Price
$7.43
Shares after
3,502
Date
28 Apr 2022
Ownership
Direct
Footnotes
F2
ACHV holding

Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
1,796
Date
28 Apr 2022
Ownership
By Spouse
ACHV holding

Common Stock

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
882
Date
28 Apr 2022
Ownership
By Ricanto Limited
Footnotes
F3

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

ACHV transaction Derivative

Performance Restricted Stock Unit (PRSU)

Options Exercise

Transaction value
$0
Shares
-1,000
Change %
-50%
Price
$0.000000
Shares after
1,000
Date
28 Apr 2022
Ownership
Direct
Underlying class
Common Stock
Underlying amount
1,000
Exercise price
Footnotes
F4, F5
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 5 footnotes

Footnote F1

Represents shares of common stock acquired upon settlement of the performance restricted stock units ("PRSUs") listed in Table II.

Footnote 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.

Footnote F3

The reporting holder is a principal owner of Ricanto Limited.

Footnote F4

Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.

Footnote 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.

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