0001209191-17-047584.txt : 20170803 0001209191-17-047584.hdr.sgml : 20170803 20170803204938 ACCESSION NUMBER: 0001209191-17-047584 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170801 FILED AS OF DATE: 20170803 DATE AS OF CHANGE: 20170803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Joseph Donald CENTRAL INDEX KEY: 0001319460 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 033-80623 FILM NUMBER: 171006677 MAIL ADDRESS: STREET 1: C/O KALOBIOS PHARMACEUTICALS, INC. STREET 2: 260 EAST GRAND AVENUE CITY: SOUTH SAN FRANCISCO STATE: CA ZIP: 94080 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: ACHIEVE LIFE SCIENCES, INC. CENTRAL INDEX KEY: 0000949858 STANDARD INDUSTRIAL CLASSIFICATION: IN VITRO & IN VIVO DIAGNOSTIC SUBSTANCES [2835] IRS NUMBER: 954343413 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 19820 NORTH CREEK PARKWAY STREET 2: SUITE 201 CITY: BOTHELL STATE: WA ZIP: 98011 BUSINESS PHONE: 425-686-1500 MAIL ADDRESS: STREET 1: 19820 NORTH CREEK PARKWAY STREET 2: SUITE 201 CITY: BOTHELL STATE: WA ZIP: 98011 FORMER COMPANY: FORMER CONFORMED NAME: ONCOGENEX PHARMACEUTICALS, INC. DATE OF NAME CHANGE: 20080821 FORMER COMPANY: FORMER CONFORMED NAME: SONUS PHARMACEUTICALS INC DATE OF NAME CHANGE: 19950825 4 1 doc4.xml FORM 4 SUBMISSION X0306 4 2017-08-01 0 0000949858 ACHIEVE LIFE SCIENCES, INC. ACHV 0001319460 Joseph Donald 19820 NORTH CREEK PARKWAY SUITE 201 BOTHELL WA 98011 1 0 0 0 Stock Option (right to buy) 4.57 2017-08-01 4 A 0 16400 0.00 A 2027-08-01 Common Stock 16400 16400 D The options vest in monthly installments over 36 months commencing one month from August 1, 2017. Sandra Thomson Attorney-in-fact for Donald Joseph 2017-08-03