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

Role
Chief Commercial Officer
Signature
Sandra Thomson as attorney-in-fact for Jaime Xinos
Issuer symbol
ACHV
Transactions as of
28 Jan 2025
Transactions value $
$0
Form type
4
Filing time
30 Jan 2025, 16:51:52 UTC
Previous filing
14 Jan 2025
Next filing
08 Sep 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 Performance Restricted Stock Unit (PRSU) Award $0 +100K $0.00 100K 28 Jan 2025 Common Stock 100K 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.