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

Role
President & CMO, Director
Signature
Sandra Thomson as attorney-in-fact for Cindy Jacobs
Stock symbol
ACHV
Transactions as of
Jan 28, 2025
Transactions value $
$0
Form type
4
Date filed
1/30/2025, 04:50 PM
Previous filing
Aug 20, 2024
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 Performance Restricted Stock Unit (PRSU) Award $0 +130K $0.00 130K Jan 28, 2025 Common Stock 130K Direct F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.
F2 Pursuant to the terms of the award agreement governing the PRSU, the number of underlying shares of the Issuer's common stock that may ultimately vest range from 0% to 100% of the number of the PRSUs initially granted, subject to certain milestones being met during the measurement period.