Erik Atkisson - 04 Dec 2025 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Reporting relationship: Chief Legal Officer
Issuer ticker: ACHV
Reported as of: 04 Dec 2025
Net transaction value: $0
SEC form: 4
Accepted by SEC: 08 Dec 2025, 16:01:03 UTC
Prior SEC filing: 21 Oct 2025
Source filing: View source filing
Reporting owner signature: /s/ Sandra Thomson as attorney-in-fact for Erik Atkisson

Key filing fact

Erik Atkisson filed Form 4 for ACHIEVE LIFE SCIENCES, INC. (ACHV) on 08 Dec 2025.

Key facts

This page summarizes Erik Atkisson's Form 4 filing for ACHIEVE LIFE SCIENCES, INC. (ACHV).
1 reported transaction and 1 derivative row are listed below.
Accepted by SEC: 08 Dec 2025, 16:01.

Change

Previous filing in this sequence was filed on 21 Oct 2025.
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

Reporting Owners (1)

CIK 0001885915 Primary reporting owner

Atkisson Erik

Relationship: Chief Legal Officer
Address: 22722 29TH DR SE, SUITE 100, BOTHELL
Signature: /s/ Sandra Thomson as attorney-in-fact for Erik Atkisson
Signature date: 08 Dec 2025

Reported derivative securities

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

ACHV transaction Derivative

Stock Option (right to buy)

Award

Transaction value: $0
Shares: +250,000
Change %
Price: $0.000000
Shares after: 250,000
Date: 04 Dec 2025
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 250,000
Exercise price: $4.78
Footnotes: F1

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 1 footnote

Footnote F1

This option will vest as to 1/4 of the total award on the first anniversary of October 20, 2025, and thereafter in substantially equal monthly installments over 36 months, subject to the Reporting Person's provision of service to the Issuer on each vesting date.