ACHIEVE LIFE SCIENCES, INC. — Director's Dealing 2022

Apr 29, 2022

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: ACHIEVE LIFE SCIENCES, INC. (ACHV)
CIK: 0000949858
Period of Report: 2022-04-28

Reporting Person: Stewart Richard Alistair (Director, Executive Chairman)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2022-04-28	Common Stock	M	5000	$0.00	Acquired	15626	Direct
2022-04-28	Common Stock	F	2250	$7.43	Disposed	13376	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2022-04-28	Performance Restricted Stock Unit (PRSU)	$	M	5000	Disposed	2025-01-26	Common Stock (5000)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	359	Indirect
Common Stock	882	Indirect

Footnotes

F1: Represents shares of common stock acquired upon settlement of the performance restricted stock units ("PRSUs") 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 PRSUs.

F3: The reporting holder is a principal owner of Ricanto Limited.

F4: Each PRSU represents a contingent right to receive one share of the issuer's common stock at settlement.

F5: Pursuant to the terms of the PRSU 50% of the total shares underlying the PRSU vest on the achievement of a performance-based milestone, and 50% vest on the first anniversary of the achievement of such milestone.