Craig Donnelly - Sep 8, 2025 Form 3 Insider Report for ACHIEVE LIFE SCIENCES, INC. (ACHV)

Role
Chief Operations Officer
Signature
/s/ Sandra Thomson as attorney-in-fact for Craig Donnelly
Stock symbol
ACHV
Transactions as of
Sep 8, 2025
Transactions value $
$0
Form type
3
Date filed
9/19/2025, 10:46 AM
Next filing
Oct 3, 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Donnelly Craig Chief Operations Officer 22722 29TH DR. SE, SUITE 100, BOTHELL /s/ Sandra Thomson as attorney-in-fact for Craig Donnelly 2025-09-19 0002086790

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding ACHV Common Sock 52.4K Sep 8, 2025 Direct

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
holding ACHV Stock Option (right to buy) Sep 8, 2025 Common Stock 25K $4.53 Direct F1
holding ACHV Stock Option (right to buy) Sep 8, 2025 Common Stock 22.5K $4.55 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 25% of the options became exercisable on March 1, 2024 and the remainder vest in thirty-six equal monthly installments thereafter.
F2 The options vest as to one-third of the award on January 22, 2025 and thereafter in equal monthly installments over 24 months.