John Bencich - 19 Apr 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
23 Apr 2024, 16:26:56 UTC
Prior SEC filing
06 Mar 2024
Next SEC filing
20 Aug 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 23 Apr 2024.

Key facts

  • This page summarizes John Bencich's Form 4 filing for ACHIEVE LIFE SCIENCES, INC. (ACHV).
  • 3 reported transactions and 1 derivative row are listed below.
  • Accepted by SEC: 23 Apr 2024, 16:26.

Change

  • Previous filing in this sequence was filed on 06 Mar 2024.
  • Current net transaction value: -$27,457.

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
+25,000
Change %
+33%
Price
$0.000000
Shares after
101,724
Date
19 Apr 2024
Ownership
Direct
Footnotes
F1
ACHV transaction

Common Stock

Tax liability

Transaction value
$27,457
Shares
-6,088
Change %
-6%
Price
$4.51
Shares after
95,636
Date
19 Apr 2024
Ownership
Direct
Footnotes
F2

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
-25,000
Change %
-100%
Price
$0.000000*
Shares after
0
Date
19 Apr 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
25,000
Exercise price
Footnotes
F3, F4
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 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

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

Footnote F4

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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