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ACHIEVE LIFE SCIENCES, INC. Director's Dealing 2021

Aug 19, 2021

33882_dirs_2021-08-19_a7d25ccc-9448-4905-87ec-ecbda29dab9c.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: ACHIEVE LIFE SCIENCES, INC. (ACHV)
CIK: 0000949858
Period of Report: 2021-08-17

Reporting Person: Wan Jerry (Principal Accounting Officer)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2021-08-17 Common Stock M 11 $0.00 Acquired 100 Direct
2021-08-17 Common Stock F 6 $6.81 Disposed 94 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2021-08-17 Restricted Stock Unit (RSU) $ M 11 Disposed 2021-08-01 Common Stock (11) Direct

Footnotes

F1: Represents shares of common stock acquired upon settlement of the restricted stock units ("RSUs") listed in Table II.

F2: Represents shares of common stock that have been withheld by the issuer to satisfy the tax liability in connection with the settlement of RSUs.

F3: Each RSU represents a contingent right to receive one share of the issuer's common stock at settlement.

F4: Pursuant to the terms of the RSU, 25% of the total shares underlying the RSU vest annually on the later of (i) each anniversary of August 1, 2017 and (ii) the first day thereafter during which the issuer's trading window is open.