SEC Form 4 · accession 0001209191-18-051896
ACHIEVE LIFE SCIENCES, INC. · ACHV
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Anthony Clarke
Officer — President & CSO · Director
Period of report
Sep 20, 2018
Accepted (ET)
Sep 21, 2018 · 4:38 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 | $2.56 | Sep 20, 2018 | A | 37,000 | A | — | Sep 20, 2028 | Common Stock | 37,000 | 37,000 | D |
Explanation of responses
- F1The options will vest in equal monthly installments over a four year period commencing one month from September 20 2018.