SEC Form 4 · accession 0001193125-26-324262
ACHIEVE LIFE SCIENCES, INC. · ACHV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Thomas Sellig
Director
Period of report
Jul 27, 2026
Accepted (ET)
Jul 29, 2026 · 5:26 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0000949858
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $6.18 | Jul 27, 2026 | A | 25,000 | A | — | Jul 27, 2036 | Common Stock | 25,000 | 25,000 | D |
| Restricted Stock Unit (RSU)F2,F3 | — | Jul 27, 2026 | A | 16,700 | A | — | Jul 27, 2036 | Common Stock | 16,700 | 16,700 | D |
Explanation of responses
- F1The options vest 100% on the earlier of July 27, 2027 or the date immediately prior to the Issuer's 2027 annual meeting of stockholders, subject to the Reporting Person's provision of service to the Issuer on the vesting date.
- F2Each RSU represents a contingent right to receive one share of the Issuer's common stock at settlement.
- F3Pursuant to the terms of the RSU, the shares underlying the RSU vest 100% on the earlier of July 27, 2027 or the date immediately prior to the Issuer's 2027 annual meeting of stockholders, subject to the Reporting Person's provision of service to the Issuer on the vesting date.