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ACHIEVE LIFE SCIENCES, INC. Director's Dealing 2023

Apr 24, 2023

33882_dirs_2023-04-24_9605573a-48a6-4637-8aae-47daf9958ad8.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: 2023-04-21

Reporting Person: Bencich John (Director, CEO)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2023-04-21 Common Stock M 25000 $0.00 Acquired 61920 Direct
2023-04-21 Common Stock F 7324 $6.80 Disposed 54596 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2023-04-21 Performance Restricted Stock Unit (PRSU) $ M 25000 Acquired 2026-01-03 Common Stock (25000) 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.