K. Oki - Dec 6, 2024 Form 4 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role: Chief Financial Officer
Signature: Sandra Thomson as attorney-in-fact for Mark Oki
Stock symbol: ACHV
Transactions as of: Dec 6, 2024
Transactions value $: $0
Form type: 4
Date filed: 12/9/2024, 04:39 PM
Previous filing: Dec 9, 2024
Next filing: Mar 19, 2025
SEC: View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	ACHV	Common Stock Options (right to buy)	Award	$0	+72K		$0.00	72K	Dec 6, 2024	Common Stock	72K	$4.52	Direct	F1
transaction	ACHV	Performance Restricted Stock Unit (PRSU)	Award	$0	+168K		$0.00	168K	Dec 6, 2024	Common Stock	168K		Direct	F2, F3

Showing 1 to 2 of 2 entries

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	The options vest one-third on the first anniversay of December 5, 2024 and thereafter in monthly installments over 24 months.
F2	Each restricted stock unit represents a contingent right to receive one share of the issuer's common stock at settlement.
F3	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.