SEC Form 4 · accession 0001209191-17-047586
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
Jay M Moyes
Director
Period of report
Aug 1, 2017
Accepted (ET)
Aug 3, 2017 · 8:52 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.