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ACHIEVE LIFE SCIENCES, INC. Director's Dealing 2022

Apr 29, 2022

33882_dirs_2022-04-29_e0ec178a-9b67-404e-b028-b2f970ca202f.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: 2022-04-28

Reporting Person: JACOBS CINDY (Director, President & CMO)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2022-04-28 Common Stock M 2500 $0.00 Acquired 2723 Direct
2022-04-28 Common Stock F 609 $7.43 Disposed 2114 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2022-04-28 Performance Restricted Stock Unit (PRSU) $ M 2500 Disposed 2025-01-26 Common Stock (2500) Direct

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

F4: 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.