Jerry Wan - 28 Jan 2025 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Reporting relationship: Principal Accounting Officer
Issuer ticker: ACHV
Reported as of: 28 Jan 2025
Net transaction value: $0
SEC form: 4
Accepted by SEC: 30 Jan 2026, 16:05:03 UTC
Prior SEC filing: 20 Aug 2024
Next SEC filing: 08 Sep 2025
Source filing: View source filing
Reporting owner signature: Sandra Thomson as attorney-in-fact for Jerry Wan

Key filing fact

Jerry Wan filed Form 4 for ACHIEVE LIFE SCIENCES, INC. (ACHV) on 30 Jan 2026.

Key facts

This page summarizes Jerry Wan's Form 4 filing for ACHIEVE LIFE SCIENCES, INC. (ACHV).
1 reported transaction and 1 derivative row are listed below.
Accepted by SEC: 30 Jan 2026, 16:05.

Change

Previous filing in this sequence was filed on 20 Aug 2024.
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 0001828041 Primary reporting owner

Wan Jerry

Relationship: Principal Accounting Officer
Address: 1040 WEST GEORGIA STREET, SUITE 1030, VANCOUVER, BRITISH COLUMBIA, CANADA
Signature: Sandra Thomson as attorney-in-fact for Jerry Wan
Signature date: 30 Jan 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: +70,300
Change %
Price: $0.000000
Shares after: 70,300
Date: 28 Jan 2026
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 70,300
Exercise price: $4.36
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

The option will vest as to 1/4 of the total award on the first anniversary of January 28, 2026, 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.