John Bencich - 22 Jan 2024 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Source evidence Original filing metadata and source links for verification. 5 source fields
SEC form
4
Accepted by SEC
24 Jan 2024, 18:54:45 UTC
Prior SEC filing
01 Jun 2023
Next SEC filing
06 Mar 2024
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
Sandra Thomson as attorney-in-fact for John Bencich

Key filing fact

John Bencich filed Form 4 for ACHIEVE LIFE SCIENCES, INC. (ACHV) on 24 Jan 2024.

Key facts

  • This page summarizes John Bencich's Form 4 filing for ACHIEVE LIFE SCIENCES, INC. (ACHV).
  • 2 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 24 Jan 2024, 18:54.

Change

  • Previous filing in this sequence was filed on 01 Jun 2023.
  • Current net transaction value: $0.

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 derivative securities

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

ACHV transaction Derivative

Performance Restricted Stock Unit (PRSU)

Award

Transaction value
$0
Shares
+175,000
Change %
Price
$0.000000
Shares after
175,000
Date
22 Jan 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
175,000
Exercise price
Footnotes
F1, F2
ACHV transaction Derivative

Stock Option (right to buy)

Award

Transaction value
$0
Shares
+75,000
Change %
Price
$0.000000
Shares after
75,000
Date
22 Jan 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
75,000
Exercise price
$4.55
Footnotes
F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

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

Footnote 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.

Footnote F3

The options vest one-third on the first anniversary of January 22, 2024 and thereafter in monthly installments over 24 months.

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