Form 4 for ACHV ACHIEVE LIFE SCIENCES, INC.
Accepted 2023-05-01 00:00:00 ET · period of report 2023-04-28 · accession 0001209191-23-026321 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| D | 2023-05-01 | 2023-04-28 | ACHV | JACOBS CINDY | Pres, CMO, Dir | M - OptEx | $0.00 | +2,500 | 18.9K | +15% | $0 |
| D | 2023-05-01 | 2023-04-28 | ACHV | JACOBS CINDY | Pres, CMO, Dir | F - Tax | $8.29 | -609 | 18.3K | -3% | -$5,049 |
| D | 2023-05-01 | 2023-04-28 | ACHV | JACOBS CINDY | Pres, CMO, Dir | M - OptEx | $0.00 | -2,500 | 0 | -100% | $0 |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2023-04-28 | M | A | 2,500 | $0.00 | 18,870 | D | — | — | (F1) Represents shares of common stock acquired upon settlement of the performance restricted stock units ("PRSUs") listed in Table II. |
| 2 | Common | Common Stock | 2023-04-28 | F | D | 609 | $8.29 | 18,261 | D | — | — | (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. |
| 3 | Derivative | Performance Restricted Stock Unit (PRSU) | 2023-04-28 | M | D | 2,500 | $0.00 | 0 | D | — · — to 2025-01-26 | 2,500 Common Stock | (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. |