SEC Form 4 · accession 0001209191-17-047584
ACHIEVE LIFE SCIENCES, INC. · ACHV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Donald Joseph
Director
Period of report
Aug 1, 2017
Accepted (ET)
Aug 3, 2017 · 8:49 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
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 | $4.57 | Aug 1, 2017 | A | 16,400 | A | — | Aug 1, 2027 | Common Stock | 16,400 | 16,400 | D |
Explanation of responses
- F1The options vest in monthly installments over 36 months commencing one month from August 1, 2017.